Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in New Britain, CT. Organization (NPI-2).
NPI number1801280565
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1801280565
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 20, 2015
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Costco Optical #1196 (Doing Business As)
Practice location
405 Hartford RdNew Britain, CT 06053
Phone 425-313-8100
Mailing address
Po Box 35005Seattle, WA 98124
Authorized official
Art Salas
Avp Optical
8608937014
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