OrganizationActive
Costco Wholesale Corporation
NPI 1164818167 · Eyewear Supplier · Durham, NC
Provider details
- NPI number
- 1164818167
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(919) 220-2770
- License
- 1059 (NC)
Specialties & taxonomies
Suppliers
Practice location
1510 N Pointe Dr
Durham, NC 27705-3405
Phone: (919) 220-2770
Fax: (919) 220-2745
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #249
- Doing business as
- Costco Optical #249
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2020-06-05
- Certified
- 2020-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.