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 1134513013

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

Licensed in
FL
In the registry since
2015

Practice location Address checks out

4067 Lagniappe Way
Tallahassee, FL 32317-1201
Phone: (850) 219-2511
Fax: (850) 219-2504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence OE1674 (FL)

Record details

NPI number1134513013
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (850) 219-2511
Other names Costco Optical #1026; Costco Optical #1026
NPI enumeratedMarch 27, 2015
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in Tallahassee