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Costco Wholesale Corporation

Organization Active NPI Eyewear Supplier · Superior, CO

NPI 1902296973 · NPPES record last updated Jun 11, 2020

Key facts

NPI
1902296973
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
COSTCO WHOLESALE CORPORATION
Practice address
600 Marshall Rd
Superior, CO 80027-9730
Phone
(720) 587-1001
Fax
(720) 587-1005
NPI assigned
Jan 29, 2015
Organization subpart
Yes
Parent organization (as reported)
COSTCO WHOLESALE CORPORATION

Authorized official

Name
Art Salas
Title
Avp Optical
Phone
(720) 587-1001

Corporate family (same tax ID) 14

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

600 Marshall Rd
Superior, CO 80027-9730

Mailing address

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

Other names

  • Costco Optical #480 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": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1902296973",
    "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": "600 MARSHALL RD",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279730",
            "telephone_number": "720-587-1001",
            "fax_number": "720-587-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2015-01-29",
        "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": "720-587-1001"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #480",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Optical #480",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Superior, CO

All providers in Superior, CO · Eyewear Supplier in Colorado

Sources for this page

Verify at the official NPI Registry.