Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #1004
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(408) 678-2161
Entity
Organization
Contact information
Practice address
1709 AUTOMATION PKWY, SAN JOSE, CA 95131-1866
(408) 678-2161
(408) 678-2154
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
D7307
CA
Other
Enumeration date
02/03/2015
Last updated
06/05/2020
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