Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · East Lyme, CT
NPI 1124675228 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1124675228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 284 Flanders Rd
East Lyme, CT 06333-1710 - Phone
- (425) 313-8100
- NPI assigned
- Aug 22, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (860) 691-9647
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Locations
284 Flanders Rd
East Lyme, CT 06333
Phone (860) 691-9657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
284 Flanders Rd
East Lyme, CT 06333-1710
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1372
Other providers in East Lyme, CT
- Coastline Foot and Ankle Specialists LLC
- Coffee House Counseling LLC
- Patricia Marie Comrie-Scheer
- Connecticut CVS Pharmacy, LLC
- Connecticut Oral Surgery and Implant Center, PLLC
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Michelle A Cretella
- Judith A Crotty
- Thomas Cushman
All providers in East Lyme, CT · Eyewear Supplier in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 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.