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 1073907325

Costco Wholesale Corporation is an Eyewear Supplier in Manassas, Virginia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

10701 Sudley Manor Dr
Manassas, VA 20109-2845
Phone: (703) 368-7579
Fax: (703) 368-7984
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 number1073907325
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (703) 368-7560
Other names Costco Optical #225; Costco Optical #225
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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