COSTCO WHOLESALE CORPORATION (NPI# 1497128714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497128714 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #1227 |
| Practice Address |
4628 E County Line Rd Indianapolis IN 46237-9105 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 4253138100 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 3173607076 |
| 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 #1227 | 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 |
4628 E COUNTY LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1023622552 | Jared Grubbs | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2020-09-02 |
| 1659924942 | Stephanie Mae Gahimer | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2019-07-17 |
| 1710539325 | Laura Gulden | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2019-07-13 |
| 1619435872 | Jenifer Gillespie | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2019-03-06 |
| 1215410485 | Denise Donley | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2018-09-12 |
| 1174041982 | Andrew M Gonzales | Pharmacist | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2017-08-31 |
| 1295109031 | Costco Wholesale Corporation | Hearing Aid Equipment | 4628 E County Line Rd, Indianapolis, IN 46237-9105 | 2015-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| Find all providers in zip 46237 | ||||
| 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 |
|---|---|---|---|---|
| 1730737610 | Net-works Solutions, LLC | Eyewear Supplier (Equipment, not the service) | 7114 Munsee Ln, Indianapolis, IN 46260-4069 | 2019-09-03 |
| 1801443742 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 49 W Maryland St Ste 179, Indianapolis, IN 46204-3543 | 2019-08-26 |
| 1659706448 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 10777 E Washington St, Suite A, Indianapolis, IN 46229-2613 | 2013-09-11 |
| 1013275171 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8752 Michigan Rd, Indianapolis, IN 46268-1123 | 2012-04-26 |
| 1619110087 | Castleton Eyecare Inc | Eyewear Supplier (Equipment, not the service) | 8137 Castleton Rd, Indianapolis, IN 46250-2035 | 2009-04-14 |
| 1043408610 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 9630 Washington Street, Indianapolis, IN 46229 | 2007-10-09 |
| 1346431640 | Essilor Laboratories of America, Inc. | Eyewear Supplier (Equipment, not the service) | 1718 Lafayette Rd, Indianapolis, IN 46222-2809 | 2007-08-05 |
| 1568673119 | Speedway Optical | Eyewear Supplier (Equipment, not the service) | 1602 Cunningham Dr, Indianapolis, IN 46224 | 2007-05-25 |
| 1669692190 | Northeast Optical | Eyewear Supplier (Equipment, not the service) | 2815 E 38th St, Indianapolis, IN 46218-1229 | 2007-04-26 |
| 1992835052 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4616 W. 38th Street, Indianapolis, IN 46254 | 2007-03-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.