COSTCO WHOLESALE CORPORATION (NPI# 1972993186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972993186 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #762 |
| Practice Address |
1141 W Avenue L Lancaster CA 93534-7077 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 6618024470 |
| Practice Fax Number | 6618024487 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 6618024470 |
| 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) | D6905 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #762 | 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 |
1141 W AVENUE L |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295845808 | Costco Wholesale Corporation | Pharmacy | 1141 W Avenue L, Lancaster, CA 93534 | 2006-08-30 |
| 1942684790 | Darin Bechthold | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2015-07-10 |
| 1992198162 | Costco Wholesale Corporation | Hearing Aid Equipment | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2015-03-12 |
| 1003166190 | Thinh Dinh Hoang | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2012-09-15 |
| 1043578552 | Judy Ann Cabugao Armas | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2012-05-03 |
| 1467735605 | Lavender Botones | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2011-09-23 |
| 1700071834 | Melanie Kim Jedrusiak | Optometrist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2007-09-11 |
| 1467661355 | Tarek Mohana | Optometrist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1013523794 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Centerville Rd, Lancaster, PA 17603-4007 | 2020-09-18 |
| 1740804954 | Eye Associates of Lancaster Ltd | Eyewear Supplier (Equipment, not the service) | 610 Community Way, Lancaster, PA 17603-2329 | 2020-06-03 |
| 1972049229 | Eyewear By David | Eyewear Supplier (Equipment, not the service) | 927 University Dr, Lancaster, SC 29720-9496 | 2017-01-10 |
| 1134589161 | Nu Vision | Eyewear Supplier (Equipment, not the service) | 1147 E Avenue K12, Lancaster, CA 93535-2943 | 2016-03-03 |
| 1083036149 | Eye Associates of Lancaster Ltd | Eyewear Supplier (Equipment, not the service) | 2106 Harrisburg Pike Ste 309, Lancaster, PA 17601-2644 | 2014-01-09 |
| 1912294927 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2350 Lincoln Hwy E, Ste. 890, Lancaster, PA 17602-1180 | 2011-06-29 |
| 1407186711 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 1701 River Valley Cir, River Valley Mall, Lancaster, OH 43130-1465 | 2010-01-08 |
| 1780725499 | Miller Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 530 N Queen St, Lancaster, PA 17603-3027 | 2007-02-08 |
| 1740347012 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 200 Park City Ctr Mall, Lancaster, PA 17601-2708 | 2007-01-03 |
| 1538222435 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 133 Park City Ctr, Lancaster, PA 17601-2705 | 2006-12-19 |
| Find all providers in LANCASTER | ||||
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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.