Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Charlottesville, VA

NPI number 1639557309 Active

Practice location

3171 District Ave
Charlottesville, VA 22901-2784

Call (434) 328-7036 Map

Fax (425) 313-6922

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 Charlottesville

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NPI record

NPI: 1639557309
Entity type: Organization (Type 2)
Issued: May 13, 2015
Last updated: Mar 6, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1184 · doing business as
Costco Optical #1184 · doing business as

Authorized official

Art Salis
Director
(434) 328-7036

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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 1639557309

Costco Wholesale Corporation's National Provider Identifier is 1639557309, issued on May 13, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 6, 2020.