COSTCO OPTICAL #644
NPI 1760872816
Eyewear Supplier in Gilbert, AZ

NPI Status: Active since January 28, 2015

Contact Information

2887 S MARKET ST
GILBERT, AZ
ZIP 85295
Phone: (480) 366-3961
Fax: (480) 366-3954

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Eyewear Supplier
Accepts Insurance

About COSTCO OPTICAL #644

This page provides the complete NPI Profile along with additional information for Costco Optical #644, a provider established in Gilbert, Arizona operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1760872816 assigned on January 2015. The practitioner's primary taxonomy code is 332H00000X with license number 1027E (AZ). 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 #644. The authorized official of this NPI record is Art Salas (Avp Optical)

NPI: 1760872816
Provider Legal Name: COSTCO WHOLESALE CORPORATION
Other Organization Name: COSTCO OPTICAL #644
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2887 S MARKET ST GILBERT, AZ 85295
Location Phone: (480) 366-3961
Location Fax: (480) 366-3954
Mailing Address: PO BOX 35005 SEATTLE, WA 98124
Mailing Phone: (425) 313-8100
Mailing Fax: (480) 366-3954
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-28-2015
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.: 1027E
License State: AZ
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 Cross and Blue Shield of Louisiana

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: (480) 366-3961

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.
1	7	6	0	8	7	2	8	1	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	16	7	4	8	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 7 + 4 + 8 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1760872816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.