Costco Wholesale Corporation

NPI #1003200353 in Newport News, Virginia

Provider Information

NPI Number
1003200353
Entity Type
Organization
Organization Name
Costco Wholesale Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
COSTCO WHOLESALE CORPORATION
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 25, 2015
Last Updated
Mar 6, 2020

Practice Location

Address
12121 JEFFERSON AVE
ZIP Code
23602-6916
Phone
(757) 746-2003

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(757) 746-2001

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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