Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Davie, FL. Organization (NPI-2).
NPI number1992199046
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1992199046
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 26, 2015
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | OE-0000692 | FL | Yes |
Other names
- Costco Optical #91 (Doing Business As)
Practice location
1890 S University DrDavie, FL 33324-5808
Phone 954-236-7833 · Fax 954-370-1299
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
9542367833
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