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 1619646577

Costco Wholesale Corporation is an Eyewear Supplier in Avon, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

8816 Dr Charles Nelson Dr
Avon, IN 46123
Phone: (425) 313-8100
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 number1619646577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (425) 313-6690
Other names Costco Optical #1577
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateAugust 26, 2021
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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