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 1396136677

Costco Wholesale Corporation is an Eyewear Supplier in South Ogden, Utah. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3656 Wall Ave
South Ogden, UT 84405-7101
Phone: (801) 317-3953
Fax: (801) 317-3970
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 number1396136677
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (801) 317-3951
Other names Costco Optical #770; Costco Optical #770
NPI enumeratedFebruary 9, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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