Healthcare Provider Details

I. General information

NPI: 1780507806
Provider Name (Legal Business Name): BJS WHOLESALE CLUB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4355 CHILDRESS AVENUE
MESQUITE TX
75150
US

IV. Provider business mailing address

350 CAMPUS DR
MARLBOROUGH MA
01752-3082
US

V. Phone/Fax

Practice location:
  • Phone: 972-587-6130
  • Fax: 972-476-1146
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JESSICA WATSON
Title or Position: OPTICAL OPERATIONS MANAGER
Credential:
Phone: 774-512-5206