Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Aurora, CO

NPI number 1104216167 Active

Practice location

1471 S Havana St
Aurora, CO 80012-4013

Call (303) 750-1135 Map

Fax (303) 750-5139

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 Aurora

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NPI record

NPI: 1104216167
Entity type: Organization (Type 2)
Issued: Jan 29, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #439 · doing business as
Costco Optical #439 · doing business as

Authorized official

Art Salas
AVP Optical
(303) 750-1135

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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.

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About NPI 1104216167

Costco Wholesale Corporation's National Provider Identifier is 1104216167, issued on Jan 29, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Aurora, CO. The record was last updated on Jun 11, 2020.