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Costco Wholesale Corporation — NPI 1104216258, Avondale, AZ | NPI Central

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NPI 1104216258

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Costco Wholesale Corporation

NPI 1104216258 · Eyewear Supplier · Avondale, AZ

Provider details

NPI number: 1104216258
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(623) 907-5661
License: 942E (AZ)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense 942E (AZ)
Suppliers

Practice location

10000 W Mcdowell Rd

Avondale, AZ 85392-4803

Phone: (623) 907-5661

Fax: (623) 907-5680

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #691
Doing business as: Costco Optical #691

Registry dates

Enumerated: 2015-01-28
Last updated: 2020-06-11
Certified: 2020-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.