COSTCO WHOLESALE CORPORATION NPI 1003207390

NPI Information

COSTCO WHOLESALE CORPORATION is an eyewear supplier in Pocatello, ID. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. COSTCO WHOLESALE CORPORATION NPI is 1003207390. The provider is registered as an organization entity type.
The provider Is Doing Business As Costco Optical #1033.

The provider's business location address is:

305 W QUINN RD
POCATELLO, ID
ZIP 83201-988
Phone: (208) 238-4042
Fax: (208) 238-4052

The provider's authorized official is Art Salas .
The authorized official title is Avp Optical and has the following contact phone number (208) 238-4052.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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