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 1023403961

Costco Wholesale Corporation is an Eyewear Supplier in Buford, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1550 Mall Of Georgia Blvd
Buford, GA 30519-6551
Phone: (678) 288-3009
Fax: (678) 288-3014
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1023403961
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (678) 288-3009
Other names Costco Optical #366; Costco Optical #366
NPI enumeratedMarch 30, 2015
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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