COSTCO WHOLESALE CORPORATION (NPI# 1548654742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548654742 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #308 |
| Practice Address |
71 2nd Ave Waltham MA 02451-1107 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7816223883 |
| Practice Fax Number | 7816223890 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7816223897 |
| 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 #308 | 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 |
| Street Address |
71 2ND AVE |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942310560 | Costco Wholesale Corporation | Pharmacy | 71 2nd Ave, Waltham, MA 02451 | 2006-08-30 |
| 1639548985 | Melissa Ouellette | Pharmacist | 71 2nd Ave, Waltham, MA 02451-1107 | 2015-09-16 |
| 1073909073 | Costco Wholesale Corporation | Hearing Aid Equipment | 71 2nd Ave, Waltham, MA 02451-1107 | 2015-04-07 |
| 1376814327 | Tau H Hsu | Pharmacist | 71 2nd Ave, Waltham, MA 02451-1107 | 2012-01-23 |
| 1881965820 | Laurel A Daly | Pharmacist | 71 2nd Ave, Waltham, MA 02451-1107 | 2012-01-23 |
| 1891969408 | Larry Silbert | Optometrist | 71 2nd Ave, Waltham, MA 02451-1107 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| 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 |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1629370622 | Watch City Optical | Eyewear Supplier (Equipment, not the service) | 20 Hope Ave, Waltham, MA 02453-2721 | 2010-11-23 |
| 1750608618 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon Street, Waltham, MA 02453 | 2010-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373662 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 420 Attucks Ln, Hyannis, MA 02601-8141 | 2020-10-13 |
| 1619575693 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 495 Hubbard Ave, Pittsfield, MA 01201-3810 | 2020-10-13 |
| 1578161543 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Crown Colony Dr, Quincy, MA 02169-0959 | 2020-10-13 |
| 1346848272 | Onsight Vision, LLC | Eyewear Supplier (Equipment, not the service) | 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 | 2020-10-13 |
| 1679171755 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 42 Colrain Rd, Greenfield, MA 01301-9625 | 2020-10-12 |
| 1902404148 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 25 Shelley Rd, Haverhill, MA 01835-8033 | 2020-10-10 |
| 1881292027 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1 Highland Common West, Hudson, MA 01749-2048 | 2020-10-10 |
| 1285231878 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 5 Ward St, Revere, MA 02151-1319 | 2020-10-06 |
| 1881200574 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 460 State Rd, N Dartmouth, MA 02747-4308 | 2020-09-18 |
| 1417578493 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 94 Derby St, Hingham, MA 02043-4220 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
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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.