Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Wichita, KS
NPI 1447645635 · NPPES record last updated Mar 4, 2020
Key facts
- NPI
- 1447645635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 9700 E. Kellogg
Wichita, KS 67207 - Phone
- (425) 313-8100
- Fax
- (425) 313-6922
- NPI assigned
- Apr 3, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (316) 226-7142
Corporate family (same tax ID) 9
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
9700 E. Kellogg
Wichita, KS 67207
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1200
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 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.