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NPI 1407469869

OrganizationActive

Costco Wholesale Corporation

NPI 1407469869 · Eyewear Supplier · Champaign, IL

Provider details

NPI number: 1407469869
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Authorized official: Art Salas, Avp Optical

Practice location

2002 N. Neil St.

Champaign, IL 61820

Phone: (425) 313-8100

More IL providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Registry dates

Enumerated: 2020-08-26
Last updated: 2020-08-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Costco Wholesale Corporation — NPI 1407469869, Champaign, IL | NPI Central