Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Columbia, SC

NPI number 1154776433 Active

Practice location

507 Piney Grove Rd
Columbia, SC 29210

Call (803) 875-7130 Map

Mailing address

PO Box 35005
Seattle, WA 98124

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.

7 other providers at this address

Other eyewear supplier providers in Columbia

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NPI record

NPI: 1154776433
Entity type: Organization (Type 2)
Issued: Apr 25, 2016
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1232 · doing business as
Costco Optical #1232 · doing business as

Authorized official

Art Salas
AVP Optical
(803) 875-7130

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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 1154776433

Costco Wholesale Corporation's National Provider Identifier is 1154776433, issued on Apr 25, 2016. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Columbia, SC. The record was last updated on Jun 5, 2020.