Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
COSTCO OPTICAL #1249
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(813) 279-7031
Entity
Organization
Contact information
Practice address
2225 GRAND CYPRESS DRIVE, LUTZ, FL 33559
(813) 279-7031
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
04/07/2020
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