Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Brighton, MI. Organization (NPI-2).
NPI number1508257635
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1508257635
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Feb 11, 2015
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Costco Optical #786 (Doing Business As)
Practice location
6700 Whitmore Lake RdBrighton, MI 48116-2160
Phone 810-220-8950 · Fax 810-220-8971
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
8102208952
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