Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #205
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP OPTICAL)
(804) 273-0937
Entity
Organization
Contact information
Practice address
9650 W BROAD ST, GLEN ALLEN, VA 23060-4115
(804) 727-3050
(804) 727-3062
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
—
—
Other
Enumeration date
03/25/2015
Last updated
03/06/2020
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