Costco Wholesale Corporation

NPI #1891186144 in Avon, Ohio

Provider Information

NPI Number: 1891186144
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: Feb 9, 2015
Last Updated: Feb 26, 2020

Practice Location

Address: 35804 DETROIT RD
City: Avon
State: Ohio
ZIP Code: 44011-1681
Phone: (440) 930-0103

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (440) 930-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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