OrganizationActive
Costco Wholesale Corporation
NPI 1720472871 · Eyewear Supplier · Wilmington, NC
Provider details
- NPI number
- 1720472871
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(910) 798-3261
- License
- 1482 (NC)
Specialties & taxonomies
Suppliers
Practice location
5351 Gingerwood Dr
Wilmington, NC 28405-3091
Phone: (910) 798-3262
Fax: (910) 798-3262
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #635
- Doing business as
- Costco Optical #635
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.