NPI: 1700275658

COSTCO WHOLESALE CORPORATION

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• Entity Type: Organization
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-15
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: 2020-06-11
• Parent Organization: COSTCO WHOLESALE CORPORATION
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1700275658
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1700275658

Other Names

• 2018-07-08 ~ Present , Doing Business As, Costco Optical #688

Addresses

• Primary & Current, 3800 ROSEDALE HWY, BAKERSFIELD, CA 933086235

Taxonomies

• 2018-01-07 ~ Present ³ , Eyewear Supplier (332H00000X), Primary

Licenses

• 2018-01-07 ~ Present ³ , D6861, CA

Orgs. with the Same Practice Address (3)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• KVISION LY INC (1700594314)
• COSTCO WHOLESALE CORPORATION (1467845685)
• COSTCO WHOLESALE CORPORATION (1821108424)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.