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 1568853695

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

In the registry since
2015

Practice location Address checks out

13700 Middlebelt Rd
Livonia, MI 48150-2215
Phone: (734) 427-0563
Fax: (734) 427-2988
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 number1568853695
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (734) 427-2944
Other names Costco Optical #390; Costco Optical #390
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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