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 1841681384

Costco Wholesale Corporation is an Eyewear Supplier in South Jordan, Utah. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

3571 W 10400 S
South Jordan, UT 84095
Phone: (801) 523-5287
Fax: (801) 523-5298
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 number1841681384
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (801) 523-5300
Other names Costco Optical #1019; Costco Optical #1019
NPI enumeratedFebruary 5, 2015
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405