Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Indianapolis, IN

NPI number 1497128714 Active

Practice location

4628 E County Line Rd
Indianapolis, IN 46237-9105

Call (425) 313-8100 Map

Mailing address

PO Box 34300
Seattle, WA 98124-1300

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.

9 other providers at this address

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NPI record

NPI: 1497128714
Entity type: Organization (Type 2)
Issued: Nov 9, 2015
Last updated: Feb 27, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1227 · doing business as
Costco Optical #1227 · doing business as

Authorized official

Art Salas
AVP Optical
(317) 360-7076

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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 1497128714

Costco Wholesale Corporation's National Provider Identifier is 1497128714, issued on Nov 9, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 27, 2020.