Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Davie, FL

NPI number 1992199046 Active

Practice location

1890 S University Dr
Davie, FL 33324-5808

Call (954) 236-7833 Map

Fax (954) 370-1299

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	OE-0000692 (FL)

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

Other eyewear supplier providers in Davie

See all in Davie →

NPI record

NPI: 1992199046
Entity type: Organization (Type 2)
Issued: Mar 26, 2015
Last updated: Apr 2, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #91 · doing business as
Costco Optical #91 · doing business as

Authorized official

Art Salas
AVP Optical
(954) 236-7833

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 1992199046

Costco Wholesale Corporation's National Provider Identifier is 1992199046, issued on Mar 26, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Davie, FL. The record was last updated on Apr 2, 2020.