Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Winter Park, FL

NPI number 1154715019 Active

Practice location

3333 University Blvd
Winter Park, FL 32792-7428

Call (407) 681-2105 Map

Fax (407) 681-2108

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	OE812 (FL)

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

6 other providers at this address

Other eyewear supplier providers in Winter Park

See all in Winter Park →

NPI record

NPI: 1154715019
Entity type: Organization (Type 2)
Issued: Mar 27, 2015
Last updated: Jun 4, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #185 · doing business as
Costco Optical #185 · doing business as

Authorized official

Art Salas
AVP Optical
(407) 681-2105

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 1154715019

Costco Wholesale Corporation's National Provider Identifier is 1154715019, issued on Mar 27, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Winter Park, FL. The record was last updated on Jun 4, 2020.