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Costco Wholesale Corporation — NPI 1073907325, Manassas, VA | NPI Central

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NPI 1073907325

OrganizationActive

Costco Wholesale Corporation

NPI 1073907325 · Eyewear Supplier · Manassas, VA

Provider details

NPI number: 1073907325
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(703) 368-7560

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

10701 Sudley Manor Dr

Manassas, VA 20109-2845

Phone: (703) 368-7579

Fax: (703) 368-7984

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #225
Doing business as: Costco Optical #225

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.