Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Tallahassee, FL. Organization (NPI-2).
NPI number1134513013
StatusActive
Last updated in NPPESJun 4, 2020
Details
- NPI
- 1134513013
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 27, 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) | OE1674 | FL | Yes |
Other names
- Costco Optical #1026 (Doing Business As)
Practice location
4067 Lagniappe WayTallahassee, FL 32317-1201
Phone 850-219-2511 · Fax 850-219-2504
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
8502192511
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All 16 Eyewear Supplier providers in Tallahassee · All 8,729 providers in Tallahassee
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