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

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1053908210

Costco Wholesale Corporation is an Eyewear Supplier in Dallas, Georgia. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1715 Charles Hardy Pkwy
Dallas, GA 30157-3161
Phone: (425) 313-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1053908210
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (425) 313-8100
Other names Costco Optical #1389
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405