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 1518358738

Costco Wholesale Corporation is an Eyewear Supplier in Roseburg, Oregon. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4141 NE Stephens St
Roseburg, OR 97470-1161
Phone: (541) 378-0020
Fax: (541) 378-0024
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 number1518358738
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (541) 378-0020
Other names Costco Optical #1073; Costco Optical #1073
NPI enumeratedFebruary 10, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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