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COSTCO WHOLESALE CORPORATION NPI 1003207390

NPI Profile

NPI: 1003207390
Provider Name: COSTCO WHOLESALE CORPORATION

Doing Business As: COSTCO OPTICAL #1033

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
305 W QUINN RD
POCATELLO, ID
ZIP 83201
Get Directions

Phone: (208) 238-4042

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 (425) 313-6690.

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

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/1/2020

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