OrganizationActive
Costco Wholesale Corporation
NPI 1063803807 · Eyewear Supplier · Maple Grove, MN
Costco Wholesale Corporation is a Eyewear Supplier organization in Maple Grove, MN (NPI 1063803807).
Provider details
- NPI number
- 1063803807
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(763) 494-8061
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11330 Fountains Dr
Maple Grove, MN 55369-7200
Phone: (763) 494-8050
Fax: (763) 494-8054
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #648
- Doing business as
- Costco Optical #648
Registry dates
- Enumerated
- 2015-02-16
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Frequently asked questions
- What is Costco Wholesale Corporation's NPI number?
- Costco Wholesale Corporation's National Provider Identifier (NPI) is 1063803807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Costco Wholesale Corporation?
- Costco Wholesale Corporation is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Costco Wholesale Corporation located?
- Costco Wholesale Corporation's practice location on file with NPPES is 11330 Fountains Dr, Maple Grove, MN 55369-7200.
- What is Costco Wholesale Corporation's phone number?
- The practice phone number listed in the NPPES registry for Costco Wholesale Corporation is (763) 494-8050.
- Who is the authorized official for Costco Wholesale Corporation?
- The authorized official listed on Costco Wholesale Corporation's NPPES record is Art Salas, Avp Optical. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Costco Wholesale Corporation's NPI active?
- Yes — Costco Wholesale Corporation's NPI (1063803807) is active in the NPPES registry as of the last update on 2020-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.