Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Sharpsburg, GA
NPI 1093375503 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1093375503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 40 Fischer Crossings Dr
Sharpsburg, GA 30277 - Phone
- (678) 621-8594
- NPI assigned
- Jun 17, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (678) 621-8594
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
40 Fischer Crossings Dr
Sharpsburg, GA 30277
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1361
Other providers in Sharpsburg, GA
- Sherri Christopher
- Michele Clark
- Jessica Coleman
- Ricki Coleman
- Communication Milestones Therapy
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Countryside Hospice Care Inc
- Janae Culmer
- Emily Dailey
All providers in Sharpsburg, GA · Eyewear Supplier in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.