OrganizationActive
Costco Wholesale Corporation
NPI 1245624519 · Eyewear Supplier · Frederick, MD
Provider details
- NPI number
- 1245624519
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(301) 644-1483
Specialties & taxonomies
Suppliers
Practice location
10 Monocacy Blvd
Frederick, MD 21704-7256
Phone: (301) 644-1483
Fax: (301) 644-1497
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #330
- Doing business as
- Costco Optical #330
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.