Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Twin Falls, ID

NPI number 1003207382 Active

Practice location

731 Pole Line Rd
Twin Falls, ID 83301-3036

Call (208) 736-1550 Map

Fax (208) 736-1554

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

10 other providers at this address

Other eyewear supplier providers in Twin Falls

See all in Twin Falls →

NPI record

NPI: 1003207382
Entity type: Organization (Type 2)
Issued: Feb 9, 2015
Last updated: Feb 20, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #145 · doing business as
Costco Optical #145 · doing business as

Authorized official

Art Salas
AVP Optical
(208) 736-1561

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003207382

Costco Wholesale Corporation's National Provider Identifier is 1003207382, issued on Feb 9, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Twin Falls, ID. The record was last updated on Feb 20, 2020.