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Costco Wholesale Corporation — NPI 1306236450, Gilbert, AZ | NPI Central

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NPI 1306236450

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Costco Wholesale Corporation

NPI 1306236450 · Eyewear Supplier · Gilbert, AZ

Provider details

NPI number: 1306236450
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(480) 293-0051
License: 877E (AZ)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense 877E (AZ)
Suppliers

Practice location

1415 N Arizona Ave

Gilbert, AZ 85233-1616

Phone: (480) 293-0051

Fax: (480) 293-0055

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 #481
Doing business as: Costco Optical #481

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.