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Costco Wholesale Corporation — NPI 1508243122, Menomonee Falls, WI | NPI Central

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NPI 1508243122

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Costco Wholesale Corporation

NPI 1508243122 · Eyewear Supplier · Menomonee Falls, WI

Provider details

NPI number: 1508243122
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(262) 946-6073

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

9235 Pershing Avenue

Menomonee Falls, WI 53051

Phone: (425) 313-8100

Fax: (425) 313-6922

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #1209
Doing business as: Costco Optical #1209

Registry dates

Enumerated: 2015-05-04
Last updated: 2020-02-27
Certified: 2020-02-27

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