Organization · NPI-2
Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) · Little Rock, AR
NPI number1043891666
StatusActive
Last updated in NPPESApr 15, 2021
Details
- NPI
- 1043891666
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Apr 15, 2021
- Certification date
- Mar 24, 2021
- Last updated
- Apr 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Costco Optical #1442 (Doing Business As)
Practice location
16901 Chenal ParkwayLittle Rock, AR 72223
Phone 425-313-8100
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100
Authorized official
Art Salas
Avp Optical
4253136690
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