OrganizationActive
Costco Wholesale Corporation
NPI 1336539485 · Eyewear Supplier · Tucson, AZ
Provider details
- NPI number
- 1336539485
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(520) 791-7353
- License
- 1175E (AZ)
Specialties & taxonomies
Suppliers
Practice location
1650 E Tucson Marketplace Blvd
Tucson, AZ 85713-6561
Phone: (520) 791-7353
Fax: (520) 791-7350
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #1079
- Doing business as
- Costco Optical #1079
Registry dates
- Enumerated
- 2015-01-28
- 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.