Organization · NPI-2

Costco Wholesale Corporation

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

NPI number1497128714
StatusActive
Last updated in NPPESFeb 27, 2020

Details

NPI
1497128714
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Nov 9, 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 #1227 (Doing Business As)

Practice location

4628 E County Line Rd
Indianapolis, IN 46237-9105

Phone 425-313-8100

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Authorized official

Art Salas
Avp Optical
3173607076

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