Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #88
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(654) 972-0244
Entity
Organization
Contact information
Practice address
1800 W SAMPLE RD, POMPANO BEACH, FL 33064-1324
(954) 972-0244
(954) 970-8329
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-0000691F
FL
Other
Enumeration date
03/26/2015
Last updated
04/02/2020
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