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Costco Wholesale Corporation — NPI 1568853604, Sun Prairie, WI | NPI Central

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NPI 1568853604

OrganizationActive

Costco Wholesale Corporation

NPI 1568853604 · Eyewear Supplier · Sun Prairie, WI

Provider details

NPI number: 1568853604
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(608) 825-4001

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

2850 Hoepker Rd

Sun Prairie, WI 53590-9334

Phone: (608) 825-4001

Fax: (608) 825-4012

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 #1121
Doing business as: Costco Optical #1121

Registry dates

Enumerated: 2015-02-11
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.