Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Greensboro, NC. Organization (NPI-2).
NPI number1003200155
StatusActive
Last updated in NPPESAug 22, 2023
Details
- NPI
- 1003200155
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 26, 2015
- Certification date
- Nov 17, 2020
- Last updated
- Aug 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 1482 | NC | Yes |
Other names
- Costco Optical #339 (Doing Business As)
Practice location
4201 W Wendover AveGreensboro, NC 27407-1908
Phone 336-291-4011 · Fax 336-291-4030
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
3362914011
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