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Costco Wholesale Corporation — NPI 1184018418, Fairfax, VA | NPI Central

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NPI 1184018418

OrganizationActive

Costco Wholesale Corporation

NPI 1184018418 · Eyewear Supplier · Fairfax, VA

Provider details

NPI number: 1184018418
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(703) 332-3201

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

4725 W Ox Rd

Fairfax, VA 22030-6125

Phone: (703) 332-3200

Fax: (703) 802-9137

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 #204
Doing business as: Costco Optical #204

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.