National Provider Identifier
Costco Wholesale Corporation
Costco Wholesale Corporation is listed in the NPPES registry with a primary specialty of Eyewear Supplier in Rochester, NY and a listed phone number of (425) 313-8100.
Profile Overview
- NPI
- 1538553268
- Provider Type
- Organization
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- March 19, 2015
- Last Updated
- March 05, 2020
Practice Location
- 335 Westfall Road
- Rochester, NY 14620
Phone: (425) 313-8100
Mailing Address
- PO Box 35005
- Seattle, WA 98124
Specialties
- Eyewear Supplier (332H00000X)
Full Record
- NPI
- 1538553268
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Costco Wholesale Corporation
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- PO Box 35005
- Mailing City
- Seattle
- Mailing State
- WA
- Mailing ZIP Code
- 98124
- Mailing Country
- US
- Mailing Phone
- (425) 313-8100
- Practice Street Address
- 335 Westfall Road
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620
- Practice Country
- US
- Practice Phone
- (425) 313-8100
- Enumeration Date
- March 19, 2015
- Last Updated
- March 05, 2020
- Authorized Official Last Name
- Salas
- Authorized Official First Name
- Art
- Authorized Official Title
- Avp Optical
- Authorized Official Phone
- (585) 471-6906
- Organization Subpart
- Yes
- Parent Organization Name
- COSTCO WHOLESALE CORPORATION
- Parent Organization TIN
- <UNAVAIL>
- Certification Date
- March 05, 2020
- Taxonomies
- Eyewear Supplier (332H00000X)