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 1184018418

Costco Wholesale Corporation is an Eyewear Supplier in Fairfax, Virginia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4725 W Ox Rd
Fairfax, VA 22030-6125
Phone: (703) 332-3200
Fax: (703) 802-9137
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 number1184018418
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (703) 332-3201
Other names Costco Optical #204; Costco Optical #204
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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