COSTCO WHOLESALE CORPORATION (NPI# 1992195564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992195564 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #453 |
| Practice Address |
5101 Business Center Dr Fairfield CA 94534-1624 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 7078643816 |
| Practice Fax Number | 7078646918 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 7078643816 |
| 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) | D6837 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #453 | 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 |
5101 BUSINESS CENTER DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073623625 | Costco Wholesale Corporation | Pharmacy | 5101 Business Center Dr, Fairfield, CA 94534 | 2006-08-30 |
| 1811554314 | Costco Wholesale Corporation | Hearing Aid Equipment | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2019-05-21 |
| 1609196609 | Norman Wong Lee | Pharmacist | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2010-06-02 |
| 1467501247 | Linda Thuy Nguyen | Optometrist | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1194203877 | Samy Optical LLC | Eyewear Supplier (Equipment, not the service) | 1350 Travis Blvd Unit 1507a, Fairfield, CA 94533-3440 | 2018-08-03 |
| 1154872133 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1544 Travis Blvd, Fairfield, CA 94533-3427 | 2016-10-14 |
| 1528257623 | Fairfield Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1876 Black Rock Turnpike, Fairfield, CT 06825 | 2007-10-15 |
| 1881767135 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6550 Aaron Aranov Dr, Flintridge Centre, Fairfield, AL 35064-1823 | 2006-11-16 |
| 1407947237 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1420 Travis Blvd, Fairfield Sears, Fairfield, CA 94533-3425 | 2006-09-27 |
| 1063513463 | A & J Eyecare, Inc. | Eyewear Supplier (Equipment, not the service) | 1901 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-09-26 |
| 1285655498 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1330 Travis Blvd., Fairfield, CA 94533 | 2006-07-22 |
| 1285685537 | Opticare Eye Health Centers, Inc. | Eyewear Supplier (Equipment, not the service) | 1482 Post Rd, Fairfield, CT 06824-5911 | 2006-05-12 |
| 1467068056 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2020-09-18 |
| 1396069324 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 5482 Dixie Hwy, Jungle Jim's S/c, Fairfield, OH 45014-1845 | 2010-03-19 |
| Find all providers in FAIRFIELD | ||||
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.