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NPI 1699159798

OrganizationActive

Costco Wholesale Corporation

NPI 1699159798 · Eyewear Supplier · Grand Chute, WI

Provider details

NPI number: 1699159798
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Authorized official: Art Salas, Avp Optical

Practice location

5401 W. Integrity Way

Grand Chute, WI 54913

Phone: (425) 313-8100

More WI providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Registry dates

Enumerated: 2015-07-17
Last updated: 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.

Costco Wholesale Corporation — NPI 1699159798, Grand Chute, WI | NPI Central