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Costco Wholesale Corporation

Organization Active NPI Eyewear Supplier · Chandler, AZ

NPI 1831589985 · NPPES record last updated Jun 11, 2020

Key facts

NPI
1831589985
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
License
1018E (CA)
Legal business name
COSTCO WHOLESALE CORPORATION
Practice address
595 S Galleria Way
Chandler, AZ 85226-4932
Phone
(480) 375-2053
Fax
(425) 313-6922
NPI assigned
Jan 28, 2015
Organization subpart
Yes
Parent organization (as reported)
COSTCO WHOLESALE CORPORATION

Authorized official

Name
Art Salas
Title
Avp Optical
Phone
(488) 375-2053

Corporate family (same tax ID) 21

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 1018E CA Yes

Addresses

Primary practice location

595 S Galleria Way
Chandler, AZ 85226-4932

Mailing address

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

Other names

  • Costco Optical #736 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 Jun 11, 2020.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1831589985",
    "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": "595 S GALLERIA WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264932",
            "telephone_number": "480-375-2053",
            "fax_number": "425-313-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2015-01-28",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "AVP OPTICAL",
        "authorized_official_telephone_number": "488-375-2053"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "1018E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #736",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Optical #736",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

All providers in Chandler, AZ · Eyewear Supplier in Arizona

Sources for this page

Verify at the official NPI Registry.