Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Staten Island, NY

NPI number 1689068918 Active

Practice location

2975 Richmond Ave
Staten Island, NY 10314-5851

Call (718) 982-9525 Map

Fax (718) 477-6392

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.

2 other providers at this address

Costco Wholesale CorporationHearing Aid Equipment Staten Island, NY NPI 1245622968
Costco Wholesale CorporationCommunity/Retail Pharmacy Staten Island, NY NPI 1518077130

Other eyewear supplier providers in Staten Island

See all in Staten Island →

NPI record

NPI: 1689068918
Entity type: Organization (Type 2)
Issued: Mar 25, 2015
Last updated: Mar 4, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #316 · doing business as
Costco Optical #316 · doing business as

Authorized official

Art Salas
AVP Optical
(718) 982-5182

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.

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About NPI 1689068918

Costco Wholesale Corporation's National Provider Identifier is 1689068918, issued on Mar 25, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 4, 2020.