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 1114474574

Costco Wholesale Corporation is an Eyewear Supplier in Lutz, Florida. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2225 Grand Cypress Dr
Lutz, FL 33559
Phone: (813) 279-7031
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 number1114474574
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (813) 279-7031
Other names Costco Optical #1249; Costco Optical #1249
NPI enumeratedSeptember 2, 2016
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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