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 1689068553

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

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

4901 Gate Pkwy
Jacksonville, FL 32246-4405
Phone: (904) 997-7003
Fax: (904) 997-7005
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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 OE864 (FL)

Record details

NPI number1689068553
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (904) 997-7003
Other names Costco Optical #357; Costco Optical #357
NPI enumeratedMarch 27, 2015
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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