NPIMap

Organization Active NPI

BJ's Wholesale Club Inc.

  • Eyewear Supplier
  • Fairfax, VA
National Provider Identifier
1407462096
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BJ'S WHOLESALE CLUB INC.
Practice address
13053 Fair Lakes Shopping Ctr
Fairfax, VA 22033-5179
Phone
(703) 803-0200
NPI assigned
Sep 18, 2020
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Jessica Watson
Title
Optical Operations Manager
Phone
(774) 512-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

13053 Fair Lakes Shopping Ctr
Fairfax, VA 22033-5179

Mailing address

350 Campus Dr
Marlborough, MA 01752-3082

National Provider Directory

National Provider Directory
Tax ID family
BJ's Wholesale Club Inc311 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

13053 Fair Lakes Shopping Ctr
Fairfax, VA 22033
Phone (703) 802-0612

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1407462096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CAMPUS DR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13053 FAIR LAKES SHOPPING CTR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335179",
            "telephone_number": "703-803-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ'S WHOLESALE CLUB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPTICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "774-512-5206"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.