Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
COSTCO OPTICAL #1237
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(402) 378-7398
Entity
Organization
Contact information
Practice address
12515 PORTSIDE PKWY, LA VISTA, NE 68128
(425) 313-8100
Mailing address
PO BOX 35005, SEATTLE, WA 98124
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
02/27/2020
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