COSTCO WHOLESALE CORPORATION (NPI# 1982095964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982095964 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #370 |
| Practice Address |
1310 E 79th Ave Merrillville IN 46410-5768 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 2196416400 |
| Practice Fax Number | 2196416417 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 2196416400 |
| 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 #370 | 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 |
1310 E 79TH AVE |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861502478 | Costco Wholesale Corporation | Pharmacy | 1310 E 79th Ave, Merrillville, IN 46410 | 2006-08-30 |
| 1063807337 | Costco Wholesale Corporation | Hearing Aid Equipment | 1310 E 79th Ave, Merrillville, IN 46410-5768 | 2015-04-02 |
| 1558700815 | Gregory Perez | Optometrist | 1310 E 79th Ave, Merrillville, IN 46410-5768 | 2013-06-20 |
| 1497020887 | Michael Paul Gorski | Pharmacist | 1310 E 79th Ave, Merrillville, IN 46410-5768 | 2012-03-19 |
| 1104113760 | Sylvia Rebecca Mishoulam | Optometrist | 1310 E 79th Ave, Merrillville, IN 46410-5768 | 2011-07-05 |
| 1760777346 | Advanced Optix, LLC | Optometrist | 1310 E 79th Ave, Merrillville, IN 46410-5768 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1114197829 | Dr. Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1908 Southlake Mall, Unit Al104, Merrillville, IN 46410-6435 | 2008-03-10 |
| 1942336045 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 1507 West 81st Avenue, Merrillville, IN 46410 | 2007-02-26 |
| 1912049107 | Troup Henderson Enterprises PC | Eyewear Supplier (Equipment, not the service) | 7756 Broadway, Merrillville, IN 46410-4722 | 2007-02-13 |
| 1073661542 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 2621 East Us 30, Merrillville, IN 46410 | 2007-01-08 |
| 1700933710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2300 Southlake Mall, Merrillville, IN 46410-6650 | 2007-01-04 |
| 1225105703 | Dr Barbara J Fluder Inc | Eyewear Supplier (Equipment, not the service) | 5061 E Lincoln Hwy, Merrillville, IN 46410-5912 | 2006-11-29 |
| 1821006321 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1890 Southlake Mall, Merrillville, IN 46410 | 2006-08-03 |
| 1699890111 | Robert W Moses Od Professional Corp. | Eyewear Supplier (Equipment, not the service) | 70 E 68th Pl, Merrillville, IN 46410-3506 | 2007-03-21 |
| 1295868016 | David G. Gross, Do, PC | Eyewear Supplier (Equipment, not the service) | 303 W 89th Ave, Suite E4, Merrillville, IN 46410-6294 | 2007-03-13 |
| 1366575276 | David G. Gross, D.o., P.C. | Eyewear Supplier (Equipment, not the service) | 6111 Harrison St, Suite 120, Merrillville, IN 46410-2969 | 2007-03-13 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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.