Costco Optical #648

LBN: Costco Wholesale Corporation
Costco Optical #648 is an health care organization with primary practice located at 11330 Fountains Dr , Maple Grove MN 55369-7200. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (763) 494-8050, or through Salas, Art via phone (763) 494-8061.

Contact Information

Primary practice address
11330 Fountains Dr Maple Grove MN 55369-7200
Fax: (763) 494-8054
Website:
Authorized official contact:
Name: Salas, Art

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1063803807
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Optical #648
Authorized official Salas, Art
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 16th, 2015
Last updated Feb 27th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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