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Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) in Phoenix, AZ. Organization (NPI-2).

NPI number1851781900
StatusActive
Last updated in NPPESJun 11, 2020

Details

NPI
1851781900
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Jan 28, 2015
Certification date
Jun 11, 2020
Last updated
Jun 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)878EAZYes

Other names

  • Costco Optical #490 (Doing Business As)

Practice location

19001 N 27th Ave
Phoenix, AZ 85027-5036

Phone 623-293-4401 · Fax 623-293-4405

Mailing address

Po Box 35005
Seattle, WA 98124-3405

Phone 425-313-8100 · Fax 425-313-6922

Authorized official

Art Salas
Avp Optical
6232934401

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