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 1912391061

Costco Wholesale Corporation is an Eyewear Supplier in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

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

500 Tyvola Rd
Charlotte, NC 28217-3504
Phone: (704) 501-2403
Fax: (704) 501-2417
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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 308 (NC)

Record details

NPI number1912391061
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (704) 501-2403
Other names Costco Optical #359; Costco Optical #359
NPI enumeratedMarch 26, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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