Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Bolingbrook, IL
NPI 1225429970 · NPPES record last updated Feb 27, 2020
Key facts
- NPI
- 1225429970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 830 E Boughton Rd
Bolingbrook, IL 60440-2355 - Phone
- (630) 410-0702
- Fax
- (630) 410-0704
- NPI assigned
- Feb 16, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (630) 410-0711
Corporate family (same tax ID) 21
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
830 E Boughton Rd
Bolingbrook, IL 60440-2355
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1088
Other providers in Bolingbrook, IL
- Marlys Cooper
- Nicole Corsiatti
- Marianne L Costales-Roman
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Cary Ann Cottingham Edgerton
- Covenant Holistic Healthcare Services Inc
- Covenant Holistic Healthcare Services Inc.
- Covenant Holistic Healthcare Services, Inc.
- Lapree A Crawford
All providers in Bolingbrook, IL · Eyewear Supplier in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 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.