Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Rockwall, TX. Organization (NPI-2).
NPI number1003200320
StatusActive
Last updated in NPPESMar 4, 2020
Details
- NPI
- 1003200320
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 25, 2015
- Certification date
- Mar 4, 2020
- Last updated
- Mar 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | CP20045 | TX | Yes |
Other names
- Costco Optical #1049 (Doing Business As)
Practice location
1225 State Highway 276Rockwall, TX 75032-9376
Phone 972-772-1602 · Fax 972-772-1604
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
9727721602
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All 6 Eyewear Supplier providers in Rockwall · All 2,106 providers in Rockwall
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