Organization · NPI-2

Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) · Indianapolis, IN

NPI number1447641428
StatusActive
Last updated in NPPESFeb 27, 2020

Details

NPI
1447641428
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Feb 11, 2015
Certification date
Feb 27, 2020
Last updated
Feb 27, 2020

Taxonomy and licenses

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

Other names

  • Costco Optical #347 (Doing Business As)

Practice location

9010 Michigan Rd
Indianapolis, IN 46268-3184

Phone 317-532-1608 · Fax 317-532-1625

Mailing address

Po Box 35005
Seattle, WA 98124-3405

Phone 425-313-8100 · Fax 425-313-6922

Authorized official

Art Salas
Avp Optical
3175321606

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