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Costco Wholesale Corporation — NPI 1487044533, Glendale, AZ | NPI Central

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NPI 1487044533

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Costco Wholesale Corporation

NPI 1487044533 · Eyewear Supplier · Glendale, AZ

Provider details

NPI number: 1487044533
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(623) 776-4003
License: 875E (AZ)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense 875E (AZ)
Suppliers

Practice location

17550 N 79th Ave

Glendale, AZ 85308-8711

Phone: (623) 776-4003

Fax: (623) 776-4017

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 #674
Doing business as: Costco Optical #674

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.