Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Lawrence, NY

NPI number 1770977001 Active

Practice location

605 Rockaway Tpke
Lawrence, NY 11559-1047

Call (516) 371-2017 Map

Fax (516) 371-3510

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.

5 other providers at this address

NPI record

NPI: 1770977001
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 #310 · doing business as
Costco Optical #310 · doing business as

Authorized official

Art Salas
AVP Optical
(516) 371-3518

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 1770977001

Costco Wholesale Corporation's National Provider Identifier is 1770977001, issued on Mar 25, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lawrence, NY. The record was last updated on Mar 4, 2020.