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 1720472079

Costco Wholesale Corporation is an Eyewear Supplier in Glen Allen, Virginia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

9650 W Broad St
Glen Allen, VA 23060-4115
Phone: (804) 727-3050
Fax: (804) 727-3062
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 number1720472079
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (804) 273-0937
Other names Costco Optical #205; Costco Optical #205
NPI enumeratedMarch 25, 2015
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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