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 1417342304

Costco Wholesale Corporation is an Eyewear Supplier in Bayamon, Puerto Rico. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

125 Calle A
Bayamon, PR 00959
Phone: (787) 993-9312
Fax: (787) 993-9305

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1417342304
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (787) 993-9312
Other names Costco Optical #363; Costco Optical #363
NPI enumeratedMarch 30, 2015
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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