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 1245624105

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

Licensed in
FL
In the registry since
2015

Practice location Address checks out

4696 Gardens Park Blvd
Orlando, FL 32839
Phone: (407) 586-7234
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence OE2299 (FL)

Record details

NPI number1245624105
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (407) 586-7234
Other names Costco Optical #1235; Costco Optical #1235
NPI enumeratedMarch 27, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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