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Costco Wholesale Corporation

Organization Active NPI Eyewear Supplier · Harrisonburg, VA

NPI 1669866919 · NPPES record last updated Mar 6, 2020

Key facts

NPI
1669866919
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
COSTCO WHOLESALE CORPORATION
Practice address
1830 Reservoir St
Harrisonburg, VA 22801-8742
Phone
(540) 432-8989
Fax
(540) 432-0046
NPI assigned
Mar 25, 2015
Organization subpart
Yes
Parent organization (as reported)
COSTCO WHOLESALE CORPORATION

Authorized official

Name
Art Salas
Title
Avp Optical
Phone
(540) 432-8971

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Costco Pharmacy 302 (1,506 organizations share this tax ID)
Part of
Costco Pharmacy 302

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

1830 Reservoir St
Harrisonburg, VA 22801-8742

Mailing address

PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100

Other names

  • Costco Optical #238 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 6, 2020.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1669866919",
    "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": "1830 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018742",
            "telephone_number": "540-432-8989",
            "fax_number": "540-432-0046"
        }
    ],
    "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": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "AVP OPTICAL",
        "authorized_official_telephone_number": "540-432-8971"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #238",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Optical #238",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisonburg, VA

All providers in Harrisonburg, VA · Eyewear Supplier in Virginia

Sources for this page

Verify at the official NPI Registry.