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 1063899680

Costco Wholesale Corporation is an Eyewear Supplier in New Berlin, Wisconsin. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

15300 W Grange Ave
New Berlin, WI 53151
Phone: (425) 313-8100
Fax: (425) 313-6922
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 number1063899680
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (262) 599-7043
Other names Costco Optical #1212; Costco Optical #1212
NPI enumeratedMay 4, 2015
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in New Berlin