OrganizationActive
Costco Wholesale Corporation
NPI 1528628955 · Eyewear Supplier · Loves Park, IL
Provider details
- NPI number
- 1528628955
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(779) 513-8397
Specialties & taxonomies
Suppliers
Practice location
5000 Stadium Drive
Loves Park, IL 61111
Phone: (425) 313-8100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #1353
- Doing business as
- Costco Optical #1353
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2020-02-26
- Certified
- 2020-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.