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COSTCO OPTICAL #339
NPI 1003200155
Eyewear Supplier in Greensboro, NC

Active since March 26, 2015CLIA 50D2198077 · Waiver
4201 W WENDOVER AVE, GREENSBORO, NC 27407(336) 291-4011(336) 291-4030 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2023, Jun 5, 2020 (2 updates tracked since 2020).

About Costco Optical #339 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO OPTICAL #339 (NPI 1003200155) is a healthcare organization registered as an eyewear supplier in Greensboro, North Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1003200155
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address4201 W WENDOVER AVEGreensboro, NC 27407-1908
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Phone(336) 291-4011
Fax(336) 291-4030
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (336) 291-4011
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1003200155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NC · 1482
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4201 W WENDOVER AVE, Greensboro, NC 27407
Open in Google Maps ↗

Other Names 1

Doing Business AsCostco Optical #339

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2198077

Costco Wholesale Corporation · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D2198077
Laboratory TypeClinic
Certificate Effective DateOctober 29, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Wholesale Corporation999 Lake Dr Attn: Licensing, Issaquah, WA 98027
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGO YVETT HODGES HARPER
Hearing Instrument Specialist
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4021
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4021
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4012
DR. ANN HUDSON FRY AU.D.
Audiologist
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4021
MARIROSE BILLHEIMER
Pharmacist
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4012
MRS. KAREN BRILES ADAMS RPH
Pharmacist
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4012
CHRISTOPHER ALAN MAUER
Specialist/Technologist (Athletic Trainer)
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (919) 612-3815
LIZA NIKITAS PHARMD
Pharmacist
4201 W WENDOVER AVE
GREENSBORO, NC 27407
Guilford County (336) 291-4012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1003200155. It was assigned to this organization in the NPPES registry on March 26, 2015. The provider is doing business as Costco Optical #339.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 4201 W Wendover Ave, Greensboro, NC 27407. The listed phone number is (336) 291-4011.

What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Costco Wholesale Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2198077) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Costco Wholesale Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Costco Wholesale Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.