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 1114312055

Costco Wholesale Corporation is an Eyewear Supplier in Kennesaw, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

645 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-4922
Phone: (770) 794-8042
Fax: (770) 794-8041
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 number1114312055
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (770) 794-8042
Other names Costco Optical #189; Costco Optical #189
NPI enumeratedMarch 30, 2015
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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