Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORTATION
Other names
Costco Optical #1277
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORTATION
Authorized official
ART SALAS (AVP OPTICAL)
(517) 903-5000
Entity
Organization
Contact information
Practice address
2540 E SAGINAW HWY, EAST LANSING, MI 48823-9719
(425) 313-8100
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
02/26/2020
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