Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #41
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(707) 578-7497
Entity
Organization
Contact information
Practice address
1900 SANTA ROSA AVE, SANTA ROSA, CA 95407-7621
(707) 578-7497
(707) 566-6422
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
D6121
CA
Other
Enumeration date
02/02/2015
Last updated
06/05/2020
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