Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #180
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(561) 533-5577
Entity
Organization
Contact information
Practice address
1873 LANTANA RD, LANTANA, FL 33462-2601
(561) 533-5577
(561) 533-9416
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
OE-0000694
FL
Other
Enumeration date
03/26/2015
Last updated
04/02/2020
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