COSTCO WHOLESALE CORPORATION (NPI# 1750771358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750771358 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #68 |
| Practice Address |
1010 Hawthorne Ave Se Salem OR 97301-5090 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 5033710483 |
| Practice Fax Number | 5033613825 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 5033718745 |
| 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 #68 | 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 |
1010 HAWTHORNE AVE SE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205946837 | Costco Wholesale Corporation | Pharmacy | 1010 Hawthorne Ave Se, Salem, OR 97301 | 2006-08-30 |
| 1376061960 | Emily Church | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2017-09-02 |
| 1821481771 | Costco Wholesale Corporation | Hearing Aid Equipment | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2015-03-16 |
| 1639570401 | Julie Nguyen | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2014-09-11 |
| 1558612986 | Rebecca Erin Williams | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2012-09-25 |
| 1457635054 | Natalie L Kartchner | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2011-10-01 |
| 1417242306 | Michelle Marie Pugh | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301 | 2011-06-18 |
| 1568751246 | Marsha Eibert | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-3521 | 2011-04-01 |
| 1265760896 | Sheri L Siddall | Pharmacist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2009-11-19 |
| 1447392519 | Herbert H Johns | Optometrist | 1010 Hawthorne Ave Se, Salem, OR 97301-5090 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1457967135 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Rd, Salem, NH 03079-3324 | 2020-09-18 |
| 1457578627 | Willamette Valley Eyewear | Eyewear Supplier (Equipment, not the service) | 2001 Commercial St Se, Salem, OR 97302-5207 | 2007-04-19 |
| 1437203627 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Road, Salem, NH 03079 | 2007-01-23 |
| 1871640318 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 823 Lancaster Dr Ne, Lancaster Mall, Salem, OR 97301-2929 | 2007-01-05 |
| 1306993480 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 77 Rockingham Park Blvd, The Mall At Rockingham Park, Salem, NH 03079-2964 | 2007-01-04 |
| 1467513457 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 99 Rockingham Park Blvd, Salem, NH 03079-2900 | 2006-12-13 |
| 1497844435 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 831 Lancaster Drive Ne, Salem, OR 97301 | 2006-10-11 |
| 1922019843 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 81 Rockingham Park Blvd, Salem, NH 03079 | 2006-08-10 |
| 1285677815 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 300-344 N. Broadway, Salem, NH 03079 | 2006-06-13 |
| 1790736023 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1230 Lancaster Dr Se, Salem, OR 97317-5800 | 2006-05-12 |
| Find all providers in SALEM | ||||
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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.