Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Stafford Township, NJ

NPI number 1376937417 Active

Practice location

245 Stafford Park Blvd
Stafford Township, NJ 08050-2734

Call (609) 242-2011 Map

Fax (609) 242-2015

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.

4 other providers at this address

NPI record

NPI: 1376937417
Entity type: Organization (Type 2)
Issued: Mar 26, 2015
Last updated: Mar 12, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1025 · doing business as
Costco Optical #1025 · doing business as

Authorized official

Art Salas
AVP Optical
(609) 242-2011

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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 1376937417

Costco Wholesale Corporation's National Provider Identifier is 1376937417, issued on Mar 26, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Stafford Township, NJ. The record was last updated on Mar 12, 2020.