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NPI Code Detail

MEDICARE: BJ'S WHOLESALE CLUB INC.

MEDICARE: BJ'S WHOLESALE CLUB INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1689272825
Entity Type Code : Organization
Provider Name (Legal Business Name) : BJ'S WHOLESALE CLUB INC.
Provider Business Mailing Address
First Line : 350 CAMPUS DR
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-3082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6290 COMMERCE PALMS DR
Second Line :
City : TAMPA
State : FL
Zip : 33647-1506
Country : US
Telephone Number : 813-313-1404
Fax Number :
Authorized Official
Title or Position : OPTICAL OPERATIONS MANAGER
Name : JESSICA WATSON
Credential :
Telephone Number : 774-512-5206
Provider Enumeration Date : 10/10/2020
Last Update Date : 02/18/2026

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Directions to “BJ'S WHOLESALE CLUB INC. ” Practice Location

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