Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Waterbury, CT
NPI 1265826465 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1265826465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 001479 (CT)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 3600 E Main St
Waterbury, CT 06705-3851 - Phone
- (203) 596-9967
- Fax
- (203) 591-7013
- NPI assigned
- Mar 25, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (203) 757-8660
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Locations
3600 E Main St
Waterbury, CT 06705
Phone (203) 596-0406
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 001479 | CT | Yes |
Addresses
Primary practice location
3600 E Main St
Waterbury, CT 06705-3851
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #313
Other providers in Waterbury, CT
- Christie Cortellino
- Philip R. Corvo
- Carrie Ann Mi Costa
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Elizabeth Felicia Cotter
- Counseling Center of Waterbury
- Lourdes Couras-Mendler
- Marie Courtemanche
- Alan Couture
All providers in Waterbury, 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.