COSTCO WHOLESALE CORPORATION (NPI# 1639563836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639563836 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #303 |
| Practice Address |
120 Stockwell Dr Avon MA 02322-1149 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5082324000 |
| Practice Fax Number | 5082324009 |
| 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 | 5082324006 |
| 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 #303 | 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 |
120 STOCKWELL DR |
| City | AVON |
| State | MA |
| Zip Code | 02322-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
| 1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
| 1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
| 1134465974 | Laurie Ann Barron | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-12-26 |
| 1518232073 | Mary Elizabeth Sullivan | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-03-16 |
| 1467735662 | Noreen E Sesin | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2011-09-23 |
| 1295028215 | Kinara Sara Yang | Pharmacist | 120 Stockwell Dr, Costco Avon, Avon, MA 02322-1149 | 2011-05-24 |
| 1508992967 | Virginia Ann Bonoli | Optometrist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
| 1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
| 1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
| 1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
| 1659377802 | Premier Diagnostic Services, Inc. | Radiologic Technologist | 54 Bodwell St, Suite C, Avon, MA 02322-1111 | 2005-06-22 |
| 1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
| 1538426077 | Embrace Possibilities Inc. Adh | Clinic/Center | 355 Bodwell St, Avon, MA 02322-1159 | 2012-04-23 |
| 1154547446 | Caritas Good Samaritan Occupational Health Services,inc. | Clinic/Center | 75 Stockwell Dr, Avon, MA 02322-1170 | 2007-04-17 |
| 1083927693 | Steward Good Samaritan Occupational Health Services, Inc. | Clinic/Center | 75 Stockwell Dr, Avon, MA 02322-1170 | 2010-07-23 |
| 1255666525 | Leslie A Altieri | Nurse Practitioner | 75 Stockwell Dr, Avon, MA 02322-1170 | 2009-10-05 |
| Find all providers in zip 02322 | ||||
| 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 |
|---|---|---|---|---|
| 1467069377 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 38292 Colorado Ave, Avon, OH 44011-1002 | 2020-09-24 |
| 1811323082 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 10447 East Us 36, Avon, IN 46123 | 2013-09-19 |
| 1285986802 | Northern Ohio Eye Consultants, Inc | Eyewear Supplier (Equipment, not the service) | 36505 Detroit Rd, Avon, OH 44011-1509 | 2012-10-05 |
| 1891186144 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 35804 Detroit Rd, Avon, OH 44011-1681 | 2015-02-09 |
| 1538483151 | Jennifer J Dotterweich Optometry, PC | Eyewear Supplier (Equipment, not the service) | 243 E Main St, Avon, NY 14414-1421 | 2010-03-25 |
| 1295059939 | Avon Vision Centre LLC | Eyewear Supplier (Equipment, not the service) | 37500 Harvest Ave, Avon, OH 44011-2804 | 2010-03-24 |
| 1831235068 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 380 W Main St, Avon, CT 06001 | 2007-01-29 |
| 1457402588 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 10209 E Us Highway 36, Avon, IN 46123-7985 | 2007-01-16 |
| 1538211255 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 35830 Detroit Rd, Avon, OH 44011-1681 | 2007-01-16 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.