Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #1319
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(843) 375-7034
Entity
Organization
Contact information
Practice address
3525 PARK AVE BLVD., MOUNT PLEASANT, SC 29466
(843) 375-7034
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
SC
Other
Enumeration date
04/24/2018
Last updated
06/05/2020
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