Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #411
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(714) 338-2188
Entity
Organization
Contact information
Practice address
17900 NEWHOPE ST, FOUNTAIN VALLEY, CA 92708-5422
(714) 338-2188
(714) 434-1309
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
(425) 313-8100
(425) 313-6922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D6822
CA
Other
Enumeration date
01/15/2015
Last updated
06/11/2020
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