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 1417348541

Costco Wholesale Corporation is an Eyewear Supplier in Grand Rapids, Michigan. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

5100 28th St SE
Grand Rapids, MI 49512-2049
Phone: (616) 233-4401
Fax: (616) 233-4422
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 number1417348541
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (616) 233-4403
Other names Costco Optical #784; Costco Optical #784
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in Grand Rapids