Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Mount Laurel, NJ

NPI number 1316331689 Active

Practice location

100 Centerton Rd
Mount Laurel, NJ 08054-6103

Call (856) 359-3650 Map

Fax (856) 359-3672

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.

6 other providers at this address

Other eyewear supplier providers in Mount Laurel

Charles M Cummins, Od, PAEyewear Supplier Mount Laurel, NJ NPI 1508112186

See all in Mount Laurel →

NPI record

NPI: 1316331689
Entity type: Organization (Type 2)
Issued: Mar 25, 2015
Last updated: Mar 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #749 · doing business as
Costco Optical #749 · doing business as

Authorized official

Art Salas
AVP Optical
(856) 359-3653

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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 1316331689

Costco Wholesale Corporation's National Provider Identifier is 1316331689, issued on Mar 25, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Mar 5, 2020.