Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Myrtle Beach, SC

NPI number 1427442565 Active

Practice location

1021 Oak Forest Ln
Myrtle Beach, SC 29577-9795

Call (843) 839-6608 Map

Fax (843) 839-6629

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 Myrtle Beach

See all in Myrtle Beach →

NPI record

NPI: 1427442565
Entity type: Organization (Type 2)
Issued: Mar 26, 2015
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #338 · doing business as
Costco Optical #338 · doing business as

Authorized official

Art Salas
AVP Optical
(843) 839-6629

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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 1427442565

Costco Wholesale Corporation's National Provider Identifier is 1427442565, issued on Mar 26, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 5, 2020.