Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Phoenix, AZ

NPI number 1851781900 Active

Practice location

19001 N 27th Ave
Phoenix, AZ 85027-5036

Call (623) 293-4401 Map

Fax (623) 293-4405

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	878E (AZ)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

7 other providers at this address

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NPI record

NPI: 1851781900
Entity type: Organization (Type 2)
Issued: Jan 28, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #490 · doing business as
Costco Optical #490 · doing business as

Authorized official

Art Salas
AVP Optical
(623) 293-4401

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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 1851781900

Costco Wholesale Corporation's National Provider Identifier is 1851781900, issued on Jan 28, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 11, 2020.