Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Lafayette, LA

NPI number 1770967416 Active

Practice location

201 Meadow Farm Road
Lafayette, LA 70508

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.

Another provider at this address

Costco Wholesale CorporationHearing Aid Equipment Lafayette, LA NPI 1639553324

Other eyewear supplier providers in Lafayette

See all in Lafayette →

NPI record

NPI: 1770967416
Entity type: Organization (Type 2)
Issued: Jul 13, 2015
Last updated: Mar 4, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1201 · doing business as
Costco Optical #1201 · doing business as

Authorized official

Art Salas
AVP Optical
(337) 541-7025

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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 1770967416

Costco Wholesale Corporation's National Provider Identifier is 1770967416, issued on Jul 13, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lafayette, LA. The record was last updated on Mar 4, 2020.