Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Sioux Falls, SD

NPI number 1902297658 Active

Practice location

3700 S Grange Ave
Sioux Falls, SD 57105-6359

Call (605) 988-9140 Map

Fax (605) 988-9151

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 Sioux Falls

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NPI record

NPI: 1902297658
Entity type: Organization (Type 2)
Issued: Feb 16, 2015
Last updated: Feb 27, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1159 · doing business as
Costco Optical #1159 · doing business as

Authorized official

Art Salas
AVP Optical
(605) 988-9155

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About NPI 1902297658

Costco Wholesale Corporation's National Provider Identifier is 1902297658, issued on Feb 16, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Feb 27, 2020.