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 1477944510

Costco Wholesale Corporation is an Eyewear Supplier in Fort Wayne, Indiana. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

5110 Value Dr
Fort Wayne, IN 46808-4048
Phone: (260) 481-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1477944510
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (260) 481-1113
Other names Costco Optical #1161; Costco Optical #1161
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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