Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Atlanta, GA. Organization (NPI-2).
NPI number1033504972
StatusActive
Last updated in NPPESJun 4, 2020
Details
- NPI
- 1033504972
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 30, 2015
- Certification date
- Jun 4, 2020
- Last updated
- Jun 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Costco Optical #188 (Doing Business As)
Practice location
6350 Peachtree Dunwoody RdAtlanta, GA 30328-4568
Phone 770-352-8673 · Fax 770-730-9135
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
7703528673
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