OrganizationActive
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
Suppliers
Practice location
9235 Pershing Avenue
Menomonee Falls, WI 53051
Phone: (425) 313-8100
Fax: (425) 313-6922
Approximate (ZIP-level) locationGet directions
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.