OrganizationActive
Costco Wholesale Corporation
NPI 1417348798 · Eyewear Supplier · West Bountiful, UT
Provider details
- NPI number
- 1417348798
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporaiton
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(801) 299-3943
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
573 W 100 N
West Bountiful, UT 84010-7018
Phone: (801) 299-3941
Fax: (801) 299-3962
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #735
- Doing business as
- Costco Optical #735
Registry dates
- Enumerated
- 2015-02-09
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.