Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Fairfax, VA

NPI number 1184018418 Active

Practice location

4725 W Ox Rd
Fairfax, VA 22030-6125

Call (703) 332-3200 Map

Fax (703) 802-9137

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.

12 other providers at this address

Other eyewear supplier providers in Fairfax

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NPI record

NPI: 1184018418
Entity type: Organization (Type 2)
Issued: Mar 25, 2015
Last updated: Mar 6, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #204 · doing business as
Costco Optical #204 · doing business as

Authorized official

Art Salas
AVP Optical
(703) 332-3201

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About NPI 1184018418

Costco Wholesale Corporation's National Provider Identifier is 1184018418, issued on Mar 25, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 6, 2020.