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Costco Wholesale Corporation — NPI 1639816564, Queen Creek, AZ | NPI Central

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NPI 1639816564

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Costco Wholesale Corporation

NPI 1639816564 · Eyewear Supplier · Queen Creek, AZ

Provider details

NPI number: 1639816564
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Vp Optical(425) 416-5360

Specialties & taxonomies

Eyewear SupplierPrimary332H00000X
Suppliers

Practice location

20260 S. Ellsworth Rd.

Queen Creek, AZ 85142

Phone: (425) 313-8100

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #1620

Registry dates

Enumerated: 2022-05-12
Last updated: 2022-05-12
Certified: 2022-05-01

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