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Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) in Columbia, SC. Organization (NPI-2).

NPI number1154776433
StatusActive
Last updated in NPPESJun 5, 2020

Details

NPI
1154776433
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Apr 25, 2016
Certification date
Jun 5, 2020
Last updated
Jun 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Costco Optical #1232 (Doing Business As)

Practice location

507 Piney Grove Rd
Columbia, SC 29210

Phone 803-875-7130

Mailing address

Po Box 35005
Seattle, WA 98124

Phone 425-313-8100

Authorized official

Art Salas
Avp Optical
8038757130

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