OrganizationActive
Costco Wholesale Corporation
NPI 1720472079 · Eyewear Supplier · Glen Allen, VA
Provider details
- NPI number
- 1720472079
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(804) 273-0937
Specialties & taxonomies
Suppliers
Practice location
9650 W Broad St
Glen Allen, VA 23060-4115
Phone: (804) 727-3050
Fax: (804) 727-3062
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #205
- Doing business as
- Costco Optical #205
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.