Costco Wholesale Corporation

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

D6100 Issued in CA

Legal business name

COSTCO WHOLESALE CORPORATION

Doing business as

Costco Optical #129

Practice address

1601 Coleman Ave
Santa Clara, CA 95050-3122

Phone

(408) 567-9000

Fax

(408) 567-9060

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COSTCO WHOLESALE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Art Salas

Title

Avp Optical

Phone

(425) 313-6690

Specialties & licenses 1

Addresses

Other names 1

• Costco Optical #129 Doing business as

Part of

Costco Pharmacy 139

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1053701755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35005",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243405",
            "telephone_number": "425-313-8100",
            "fax_number": "425-313-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 COLEMAN AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503122",
            "telephone_number": "408-567-9000",
            "fax_number": "408-567-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "AVP OPTICAL",
        "authorized_official_telephone_number": "425-313-6690"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D6100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #129",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Cortes, MS PSYC CONC ABA
• Benedicto Marquez Cortez Jr., M.D.
• Julieflor Cortez
• Virgilio Caricungan Cortez, DDS
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #129)
• County of Santa Clara (Department of Alcohol and Drug Services-CFCS-New Valley)
• Michelle Couret
• Covenant Care Mission, Inc. (Mission Skilled Nursing & Sub-Acute Center)
• Michelle Lynn Covert

• Eyewear Supplier in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.