Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1356735625

Costco Wholesale Corporation is an Eyewear Supplier in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
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Practice location Address checks out

8900 Tehama Ridge Pkwy
Fort Worth, TX 76177-2004
Phone: (817) 806-9833
Fax: (817) 806-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence CP20045 (TX)

Record details

NPI number1356735625
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (817) 806-9833
Other names Costco Optical #1173; Costco Optical #1173
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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