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 1487044533

Costco Wholesale Corporation is an Eyewear Supplier in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
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Practice location Address checks out

17550 N 79th Ave
Glendale, AZ 85308-8711
Phone: (623) 776-4003
Fax: (623) 776-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 875E (AZ)

Record details

NPI number1487044533
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (623) 776-4003
Other names Costco Optical #674; Costco Optical #674
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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