Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #691
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(623) 907-5661
Entity
Organization
Contact information
Practice address
10000 W MCDOWELL RD, AVONDALE, AZ 85392-4803
(623) 907-5661
(623) 907-5680
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
942E
AZ
Other
Enumeration date
01/28/2015
Last updated
06/11/2020
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