Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Lake In The Hills, IL

NPI number 1497146245 Active

Practice location

250 N Randall Rd
Lake In The Hills, IL 60156-5943

Call (847) 960-9910 Map

Fax (847) 960-9931

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.

8 other providers at this address

Other eyewear supplier providers in Lake In The Hills

Gwa Optical LLCEyewear Supplier Lake In The Hills, IL NPI 1295383271

See all in Lake In The Hills →

NPI record

NPI: 1497146245
Entity type: Organization (Type 2)
Issued: Feb 16, 2015
Last updated: Feb 27, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #774 · doing business as
Costco Optical #774 · doing business as

Authorized official

Art Salas
AVP Optical
(847) 960-9910

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.

Is this your record? How to update it.

About NPI 1497146245

Costco Wholesale Corporation's National Provider Identifier is 1497146245, issued on Feb 16, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lake In The Hills, IL. The record was last updated on Feb 27, 2020.