Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Las Vegas, NV

NPI number 1225428287 Active

Practice location

801 S Pavilion Center Dr
Las Vegas, NV 89144-4566

Call (702) 352-2051 Map

Fax (702) 352-2067

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 Las Vegas

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NPI record

NPI: 1225428287
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 #685 · doing business as
Costco Optical #685 · doing business as

Authorized official

Art Salas
AVP Optical
(702) 352-2051

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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 1225428287

Costco Wholesale Corporation's National Provider Identifier is 1225428287, issued on Jan 29, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 11, 2020.