Organization · NPI-2

Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1770967416
StatusActive
Last updated in NPPESMar 4, 2020

Details

NPI
1770967416
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Jul 13, 2015
Certification date
Mar 4, 2020
Last updated
Mar 4, 2020

Taxonomy and licenses

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

Other names

  • Costco Optical #1201 (Doing Business As)

Practice location

201 Meadow Farm Road
Lafayette, LA 70508

Phone 425-313-8100

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Authorized official

Art Salas
Avp Optical
3375417025

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