COSTCO OPTICAL #1058 – NPI #1386034437
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Health Care Provider Taxonomy Code for Eyewear Supplier

COSTCO OPTICAL #1058 is an eyewear supplier located in PHOENIX, AZ. NPPES has assigned the NPI number 1386034437 to COSTCO OPTICAL #1058 on January 28, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COSTCO OPTICAL #1058” is a dba name, the actual legal business name for this organization is COSTCO WHOLESALE CORPORATION. The primary taxonomy selected by this provider is 332H00000X from the Health Care Provider Taxonomy code set, which is classified as Eyewear Supplier.

The NPI profile was previously updated about 6 years ago on Jun 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COSTCO OPTICAL #1058 below.

NPI Profile for
COSTCO WHOLESALE CORPORATION

NPI Number
1386034437
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COSTCO WHOLESALE CORPORATION
Doing Business As (dba): COSTCO OPTICAL #1058
Primary location
4570 E CACTUS RD
PHOENIX, AZ 85032-7702
Phone: (480) 308-7044 Fax: (480) 308-7048
Mailing address
PO BOX 35005
SEATTLE, WA 98124-3405
Phone: (425) 313-8100 Fax: (425) 313-6922
Organization Subpart
Yes - COSTCO OPTICAL #1058 is subpart of another organization.
Authorized Official
ART SALAS
AVP OPTICAL
Phone: (480) 308-7044
Updated
Certification Date
Jun 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332H00000X
- Eyewear Supplier (Primary)		 AZ 1133E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.