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 1093105595

Costco Wholesale Corporation is an Eyewear Supplier in Clackamas, Oregon. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

13130 SE 84th Ave
Clackamas, OR 97015-9733
Phone: (503) 794-5500
Fax: (503) 786-7906
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 number1093105595
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (503) 794-5500
Other names Costco Optical #97; Costco Optical #97
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in Clackamas