Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Castleton, IN
NPI 1629469606 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1629469606
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 6110 E 86TH St
Castleton, IN 46250-3507 - Phone
- (317) 558-1453
- Fax
- (317) 558-1470
- NPI assigned
- Feb 11, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (317) 558-1451
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Locations
6110 E 86th St
Indianapolis, IN 46250
Phone (317) 558-1452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
6110 E 86TH St
Castleton, IN 46250-3507
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #346
Other providers in Castleton, IN
- Dashara Brown
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Anna Imel
- Shawn Matney
- National Vision, Inc.
- Eric Scott Nunemaker
- Ryan Matthew Taylor
All providers in Castleton, IN · Eyewear Supplier in Indiana
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.