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 1093106213

Costco Wholesale Corporation is an Eyewear Supplier in Sandy, Utah. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

11100 S Auto Mall Dr
Sandy, UT 84070-4171
Phone: (801) 790-0003
Fax: (801) 790-0005
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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 number1093106213
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (801) 790-0012
Other names Costco Optical #487; Costco Optical #487
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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