OrganizationActive
Costco Wholesale Corporation
NPI 1760872816 · Eyewear Supplier · Gilbert, AZ
Provider details
- NPI number
- 1760872816
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(480) 366-3961
- License
- 1027E (AZ)
Specialties & taxonomies
Suppliers
Practice location
2887 S Market St
Gilbert, AZ 85295-1303
Phone: (480) 366-3961
Fax: (480) 366-3954
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #644
- Doing business as
- Costco Optical #644
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.