Active NPIOrganization

Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) in Waterbury, Connecticut

NPI Number1265826465
Practice location
3600 E Main St, Waterbury, CT 06705-3851
Fax
203-591-7013
Last updated
March 5, 2020

Costco Wholesale Corporation is a healthcare organization based in Waterbury, CT. Costco Wholesale Corporation practices in Waterbury, CT. The NPI Number for Costco Wholesale Corporation is 1265826465 and holds a License No. 001479 (CT). The current practice location address for Costco Wholesale Corporation is 3600 E Main St, Waterbury, CT 06705-3851 and can be reached out via phone at 203-596-9967 and via fax at 203-591-7013.

Provider Profile Details

NPI Number
1265826465
Provider Name
Costco Wholesale Corporation
Provider Entity Type
Organization
Address
3600 E Main St, Waterbury, CT 06705-3851
Phone Number
203-596-9967
Fax Number
203-591-7013
Primary Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X
Organization Subpart
Yes
Parent Organization
Costco Wholesale Corporation
Authorized Official
Art Salas · Avp Optical · 203-757-8660
Other Names
Costco Optical #313 (Doing Business As)
Provider Enumeration Date
March 25, 2015
Last Update Date
March 5, 2020
Certification Date
March 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3600 E Main St
Waterbury, CT 06705-3851
Zip
06705-3851
Phone Number
203-596-9967
Fax Number
203-591-7013
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
Po Box 35005
Seattle, WA 98124-3405
City
Seattle
State
WA
Zip
98124-3405
Phone Number
425-313-8100
Fax Number
425-313-6922

License Information

License Number
001479
License State
CT
Taxonomy
Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Costco Wholesale Corporation?

The NPI number of Costco Wholesale Corporation is 1265826465. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Costco Wholesale Corporation?

Costco Wholesale Corporation is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X), licensed in CT under license number 001479.

Where does Costco Wholesale Corporation practice?

The practice location is 3600 E Main St, Waterbury, CT 06705-3851. The office can be reached at 203-596-9967 (phone) or 203-591-7013 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265826465 directly on the NPPES registry website.

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