OrganizationActive
Costco Wholesale Corporation
NPI 1386034437 · Eyewear Supplier · Phoenix, AZ
Costco Wholesale Corporation is a Eyewear Supplier organization in Phoenix, AZ (NPI 1386034437).
Provider details
- NPI number
- 1386034437
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(480) 308-7044
- License
- 1133E (AZ)
Practice location
4570 E Cactus Rd
Phoenix, AZ 85032-7702
Phone: (480) 308-7044
Fax: (480) 308-7048
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
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.