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 1376937425

Costco Wholesale Corporation is an Eyewear Supplier in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

1085 Hanes Mall Blvd
Winston Salem, NC 27103-1310
Phone: (336) 970-2301
Fax: (336) 970-2317
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 1615 (NC)

Record details

NPI number1376937425
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (336) 970-2301
Other names Costco Optical #361; Costco Optical #361
NPI enumeratedMarch 26, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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