COSTCO WHOLESALE CORPORATION (NPI# 1477944502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477944502 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #394 |
| Practice Address |
27118 Gratiot Ave Roseville MI 48066-2915 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5864470191 |
| Practice Fax Number | 5864981018 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 5864478567 |
| Is Organization Subpart | Y |
| Parent Organization Name | COSTCO WHOLESALE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #394 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1265072292 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 700 Highland Colony Pkwy, Ridgeland, MS 39157-8701 | 2020-01-07 |
| 1275183568 | Costco Wholesale Corporation | Hearing Aid Equipment | 995 Blue Gentian Rd, Eagan, MN 55121-1542 | 2019-09-18 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Colorado Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Vermont Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| New York State Corporations | COSTCO WHOLESALE CORPORATION | 28 Liberty St., New York, New York 10005 |
| Massachusetts Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Connecticut Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Virginia Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, Washington 98027 |
| Street Address |
27118 GRATIOT AVE |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
| 1144848839 | Rachel Laplena | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2020-07-08 |
| 1184133498 | Crystal Vision Consultants, LLC | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2017-09-29 |
| 1720473903 | Costco Wholesale Corporation | Hearing Aid Equipment | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2015-04-03 |
| 1881978450 | Carl Toubassi | Pharmacist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2011-09-30 |
| 1962785014 | Tracy John Sankiewicz | Pharmacist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2011-09-26 |
| 1689957672 | Gary M Zdybel | Pharmacist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2011-09-26 |
| 1316220502 | Kevin Mark Foster | Pharmacist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2011-09-23 |
| 1750491379 | Costco Wholesale Corporation | Pharmacy | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841675675 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 32443 Gratiot Ave Ste 490, Roseville, MI 48066-1154 | 2015-07-22 |
| 1366729055 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 501 Rosedale Ctr, Roseville, MN 55113-3004 | 2011-11-08 |
| 1396881587 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 32453 Gratiot, Macomb Mall Ste #530, Roseville, MI 48066-1154 | 2007-01-29 |
| 1215082698 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1151 Galleria Blvd Ste 175, Roseville, CA 95678 | 2007-01-24 |
| 1629121090 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1515 W County Rd, Roseville, MN 55113 | 2007-01-19 |
| 1942365242 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 32142 Beaconsfield St, Macomb Mall, Roseville, MI 48066-1178 | 2006-12-27 |
| 1114088879 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2480 Fairview Ave N Ste 10, Roseville, MN 55113 | 2006-12-13 |
| 1487731576 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 503 Rosedale Shopping Ctr, Roseville, MN 55113-3004 | 2006-11-01 |
| 1235140450 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1125 Galleria Blvd Galleria Mall, Roseville, CA 95678 | 2006-08-11 |
| 1023030103 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1700 W. County Rd B-2, Roseville, MN 55113 | 2006-07-24 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.