Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Augusta, GA

NPI number 1275928111 Active

Practice location

825 Cabela Dr
Augusta, GA 30909-8202

Call (706) 739-1713 Map

Fax (706) 739-1711

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.

2 other providers at this address

Costco Wholesale CorporationCommunity/Retail Pharmacy Augusta, GA NPI 1073895496
Costco Wholesale CorporationHearing Aid Equipment Augusta, GA NPI 1528451150

Other eyewear supplier providers in Augusta

See all in Augusta →

NPI record

NPI: 1275928111
Entity type: Organization (Type 2)
Issued: Mar 30, 2015
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1102 · doing business as
Costco Optical #1102 · doing business as

Authorized official

Art Salas
AVP Optical
(706) 739-1713

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.

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About NPI 1275928111

Costco Wholesale Corporation's National Provider Identifier is 1275928111, issued on Mar 30, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Augusta, GA. The record was last updated on Jun 5, 2020.