OrganizationActive
Costco Wholesale Corporation
NPI 1053705913 · Eyewear Supplier · Clearwater, FL
Costco Wholesale Corporation is a Eyewear Supplier organization in Clearwater, FL (NPI 1053705913).
Provider details
- NPI number
- 1053705913
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(727) 373-1951
- License
- OE1171 (FL)
Practice location
2655 Gulf to Bay Blvd
Clearwater, FL 33759-4936
Phone: (727) 373-1951
Fax: (727) 373-1968
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Registry dates
- Enumerated
- 2015-03-27
- Last updated
- 2020-04-02
- Certified
- 2020-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.