Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Mooresville, NC

NPI number 1992268544 Active

Practice location

392 Talbert Rd.
Mooresville, NC 28117

Call (980) 447-9749 Map

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.

2 other providers at this address

Costco Wholesale CorporationCommunity/Retail Pharmacy Mooresville, NC NPI 1760945265
Costco Wholesale CorporationHearing Aid Equipment Mooresville, NC NPI 1851854350

Other eyewear supplier providers in Mooresville

See all in Mooresville →

NPI record

NPI: 1992268544
Entity type: Organization (Type 2)
Issued: Apr 10, 2019
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1333 · doing business as
Costco Optical #1333 · doing business as

Authorized official

Art Salas
AVP Optical
(980) 447-9749

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.

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About NPI 1992268544

Costco Wholesale Corporation's National Provider Identifier is 1992268544, issued on Apr 10, 2019. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mooresville, NC. The record was last updated on Jun 5, 2020.