Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · North Riverside, IL
NPI 1457742439 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1457742439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 2500 Harlem Ave
North Riverside, IL 60546-1415 - Phone
- (708) 853-1017
- Fax
- (708) 853-1028
- NPI assigned
- Feb 11, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (708) 853-1030
Corporate family (same tax ID) 24
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
2500 Harlem Ave
North Riverside, IL 60546-1415
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1153
Other providers in North Riverside, IL
- Colors of Hope
- Comprehensive Therapeutics LTD
- Kayla Conrad
- Cook County
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Crystal Smiles Dental
- Ashanti Marie Cunningham
- Sydney Marie Cusentino
- Barbara Cybulski
All providers in North Riverside, 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 26, 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.