COSTCO OPTICAL #479
NPI 1053700906
Eyewear Supplier in Marina Del Rey, CA

NPI Status: Active since January 15, 2015

Contact Information

13463 WASHINGTON BLVD
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 754-2001
Fax: (310) 754-2005

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  • Organization
  • Eyewear Supplier
  • Accepts Insurance

About COSTCO OPTICAL #479

This page provides the complete NPI Profile along with additional information for Costco Optical #479, a provider established in Marina Del Rey, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1053700906 assigned on January 2015. The practitioner's primary taxonomy code is 332H00000X with license number D6455 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Costco Optical #479. The authorized official of this NPI record is Art Salas (Avp Optical)

NPI
1053700906
Provider Legal Name
COSTCO WHOLESALE CORPORATION
Other Organization Name
COSTCO OPTICAL #479
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13463 WASHINGTON BLVD MARINA DEL REY, CA 90292
Location Phone
(310) 754-2001
Location Fax
(310) 754-2005
Mailing Address
PO BOX 35005 SEATTLE, WA 98124
Mailing Phone
(425) 313-8100
Mailing Fax
(310) 754-2005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-15-2015
Last Update Date
06-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
D6455
License State
CA
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ART SALAS

Authorized Official Title
AVP OPTICAL
Authorized Official Phone
(310) 754-2001

Reviews for COSTCO OPTICAL #479

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053700906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103140090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 0 + 9 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1053700906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316003122DR. DOUG NISHIDA O.D.
Individual
Optometrist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 821-8382
1306132824DR. KAREN EIKO BRODERSEN PHARM.D.
Individual
Pharmacist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2002
1104112549 HIROKO HORSTMAN
Individual
Pharmacist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2002
1861789729 HOUMAN TEHRANI-VAFA PHARM.D.
Individual
Pharmacist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2002
1285909556 SUSAN ROBERTS
Individual
Pharmacist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2002
1811246747DOUGLAS J NISHIDA, OD, A PROFESSIONAL CORPORATION
Organization
Optometrist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 821-8382
1417340795COSTCO WHOLESALE CORPORATION
Organization
Hearing Aid Equipment13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2029
1285744888COSTCO WHOLESALE CORPORATION
Organization
Pharmacy (Community/Retail Pharmacy)13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2002
1093178410 DAVID YOO O.D.
Individual
Optometrist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 821-8382
1265068654MS. ALESA IONE WILLIAMS COTA
Individual
Occupational Therapy Assistant13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(323) 821-5868
1295440170 ALICE JEONG
Individual
Pharmacist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 754-2003
1558199026 LINDSEY PARNELL OD
Individual
Optometrist13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
(310) 821-8382

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053700906, enumerated in the NPI registry as an "organization" on January 15, 2015

The provider is located at 13463 Washington Blvd Marina Del Rey, Ca 90292 and the phone number is (310) 754-2001

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.