OrganizationActive
Costco Wholesale Corporation
NPI 1003207234 · Eyewear Supplier · Missoula, MT
Provider details
- NPI number
- 1003207234
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(406) 728-7371
Specialties & taxonomies
Suppliers
Practice location
3220 N Reserve St
Missoula, MT 59808-1556
Phone: (406) 543-6445
Fax: (406) 543-8620
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #67
- Doing business as
- Costco Optical #67
Registry dates
- Enumerated
- 2015-02-10
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.