{
  "npi": "1295125441",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ART",
    "authorized_official_last_name": "SALAS",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9704166128",
    "authorized_official_title_or_position": "AVP Optical",
    "certification_date": "2020-06-11",
    "enumeration_date": "2015-01-27",
    "last_updated": "2020-06-11",
    "organization_name": "COSTCO WHOLESALE CORPORATION",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4705 WEITZEL ST.",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TIMNATH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "970-416-6126",
      "postal_code": "80547",
      "state": "CO",
      "telephone_number": "970-416-6128"
    },
    {
      "address_1": "PO BOX 35005",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SEATTLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "425-313-6922",
      "postal_code": "981243405",
      "state": "WA",
      "telephone_number": "425-313-8100"
    }
  ],
  "taxonomies": [
    {
      "code": "332H00000X",
      "desc": "Eyewear Supplier (Equipment, not the service)",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Eyewear Supplier (Equipment, not the service)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}