OrganizationActive
Costco Wholesale Corporation
NPI 1063806339 · Eyewear Supplier · Wheaton, MD
Provider details
- NPI number
- 1063806339
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(301) 692-1344
Specialties & taxonomies
Suppliers
Practice location
11160 Veirs Mill Rd
Wheaton, MD 20902-2538
Phone: (301) 692-1330
Fax: (301) 692-1342
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #1124
- Doing business as
- Costco Optical #1124
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.