Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Visalia, CA. Organization (NPI-2).
NPI number1578953071
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1578953071
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Feb 4, 2015
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | D7314 | CA | Yes |
Other names
- Costco Optical #1017 (Doing Business As)
Practice location
1405 W Cameron AveVisalia, CA 93277-9527
Phone 559-735-2400 · Fax 559-625-4250
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
5597352400
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