Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1003200155

Costco Wholesale Corporation is an Eyewear Supplier in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

4201 W Wendover Ave
Greensboro, NC 27407-1908
Phone: (336) 291-4011
Fax: (336) 291-4030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 1482 (NC)

Record details

NPI number1003200155
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (336) 291-4011
Other names Costco Optical #339; Costco Optical #339
NPI enumeratedMarch 26, 2015
Last updated in NPPESAugust 22, 2023
Certification dateNovember 17, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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