Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #1364
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ART SALAS (AVP/OPTICAL)
(718) 760-2180
Entity
Organization
Contact information
Practice address
805 LIGHTHOUSE DR., BRADENTON, FL 34212
(718) 760-2180
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
06/17/2019
Last updated
06/05/2020
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