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Costco Wholesale Corporation — NPI 1639563786, Raleigh, NC | NPI Central

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NPI 1639563786

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Costco Wholesale Corporation

NPI 1639563786 · Eyewear Supplier · Raleigh, NC

Provider details

NPI number: 1639563786
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(919) 755-2801
License: 1482 (NC)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense 1482 (NC)
Suppliers

Practice location

2838 Wake Forest Rd

Raleigh, NC 27609-7840

Phone: (919) 755-2801

Fax: (919) 755-2805

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #645
Doing business as: Costco Optical #645

Registry dates

Enumerated: 2015-03-26
Last updated: 2020-06-05
Certified: 2020-06-05

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