Costco Wholesale Corporation

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1998205767 Issued in DE

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

900 Center Blvd
Newark, DE 19702-3221

Phone

(302) 894-0511

Fax

(302) 894-0998

NPI assigned

Mar 25, 2015

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

(302) 894-0255

Specialties & licenses 1

Addresses

Other names 1

• Costco Optical #246 Doing business as

Tax ID family

Costco Pharmacy 3021,506 organizations share this tax ID, including this one

Part of

Costco Pharmacy 302

Organizations with this tax ID in the same state 1

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

• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Newark, DE
  • NPI 1790171726
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Newark, DE
  • NPI 1548370158
  NPPES parent name

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1487048658",
    "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": "900 CENTER BLVD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023221",
            "telephone_number": "302-894-0511",
            "fax_number": "302-894-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "AVP OPTICAL",
        "authorized_official_telephone_number": "302-894-0255"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "DE",
            "license": "1998205767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #246",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Optical #246",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Rachel Costa, MSN, FNP-C
• Jane Costanza, O.D.
• Jamie J. Costanzo Brown, FNP
• Caitlyn Margaret Costanzo, M.D.
• James Angelo Costanzo, M.D.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Amanda Costello, ATC, LAT
• Joseph Thomas Costic, DO
• Deneen Lashawn Cottman

• Eyewear Supplier in Newark, DE
• Providers in Newark, DE by specialty
• Eyewear Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.