COSTCO OPTICAL
NPI 1740313824
Optometrist in Maple Grove, MN

Q: What is Apolade Inc's NPI number?

The NPI number for Apolade Inc is 1740313824. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Costco Optical.

Q: What is Apolade Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Apolade Inc was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2007

11330 FOUNTAINS DR, MAPLE GROVE, MN 55369(763) 494-8063(763) 494-8062 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Costco Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO OPTICAL (NPI 1740313824) is a healthcare organization registered as an optometrist in Maple Grove, Minnesota and active in the NPI registry since March 2007. The organization lists Tim J Nelson, President, as its authorized official.

NPPES Registry Identity

NPI1740313824

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameAPOLADE INC

Location Address11330 FOUNTAINS DRMaple Grove, MN 55369-7200

Mailing Address720 N 4th St Unit 704Minneapolis, MN 55401-1950 · (612) 743-1400

Phone(763) 494-8063

Fax(763) 494-8062

Organization SubpartNo

Authorized OfficialTim J NelsonPresident · (612) 743-1400

Enumeration DateMarch 14, 2007

Last NPPES UpdateDecember 11, 2018

✔ NPI 1740313824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 2827

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

11330 FOUNTAINS DR, Maple Grove, MN 55369

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Other Names 1

Doing Business AsCostco Optical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Costco Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Costco Optical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Nelson, OD

Optometry

NPI 1215091616

11330 FOUNTAINS DR
Maple Grove, MN 55369

(763) 494-8063

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apolade Inc's NPI number?

The NPI number for Apolade Inc is 1740313824. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Costco Optical.

Where is Apolade Inc located?

Apolade Inc is located at 11330 Fountains Dr, Maple Grove, MN 55369. The listed phone number is (763) 494-8063.

What is Apolade Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Apolade Inc enrolled in Medicare?

Yes. Apolade Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Apolade Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Apolade Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Apolade Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Apolade Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Apolade Inc was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.