Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · St. Louis, MO

NPI number 1497146476 Active

Practice location

4200 Rusty Rd
St. Louis, MO 63128-1973

Call (314) 894-7953 Map

Fax (314) 894-7970

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 St. Louis

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NPI record

NPI: 1497146476
Entity type: Organization (Type 2)
Issued: Feb 11, 2015
Last updated: Feb 27, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #368 · doing business as
Costco Optical #368 · doing business as

Authorized official

Art Salas
AVP Optical
(314) 894-7950

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About NPI 1497146476

Costco Wholesale Corporation's National Provider Identifier is 1497146476, issued on Feb 11, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 27, 2020.