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 1104211838

Costco Wholesale Corporation is an Eyewear Supplier in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
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Practice location Address checks out

10088 Gulf Center Dr
Fort Myers, FL 33913-8961
Phone: (239) 433-7240
Fax: (239) 433-7244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence OE1590 (FL)

Record details

NPI number1104211838
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (239) 433-7240
Other names Costco Optical #621; Costco Optical #621
NPI enumeratedMarch 31, 2015
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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