OrganizationActive
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
Suppliers
Practice location
17550 N 79th Ave
Glendale, AZ 85308-8711
Phone: (623) 776-4003
Fax: (623) 776-4017
Approximate (ZIP-level) locationGet directions
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.