Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · San Antonio, TX

NPI number 1205220613 Active

Practice location

1201 N Loop 1604 E
San Antonio, TX 78232-1322

Call (210) 403-4703 Map

Fax (210) 403-4722

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	CP20045 (TX)

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

11 other providers at this address

Other eyewear supplier providers in San Antonio

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NPI record

NPI: 1205220613
Entity type: Organization (Type 2)
Issued: Mar 24, 2015
Last updated: Mar 4, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #693 · doing business as
Costco Optical #693 · doing business as

Authorized official

Art Salas
AVP Optical
(210) 403-4703

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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 1205220613

Costco Wholesale Corporation's National Provider Identifier is 1205220613, issued on Mar 24, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 4, 2020.