COSTCO OPTICAL #1212
NPI 1063899680
Eyewear Supplier in New Berlin, WI

Active since May 04, 2015
15300 WEST GRANGE AVENUE, NEW BERLIN, WI 53151(425) 313-8100(425) 313-6922 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costco Optical #1212 NPPES

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

COSTCO OPTICAL #1212 (NPI 1063899680) is a healthcare organization registered as an eyewear supplier in New Berlin, Wisconsin and active in the NPI registry since May 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1063899680
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address15300 WEST GRANGE AVENUENew Berlin, WI 53151
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Fax(425) 313-6922
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (262) 599-7043
Enumeration DateMay 4, 2015
Last NPPES UpdateFebruary 27, 2020
NPI 1063899680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

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

15300 WEST GRANGE AVENUE, New Berlin, WI 53151

Other Names 1

Doing Business AsCostco Optical #1212

Accepted Insurance

Other Providers at the Same Location NPPES

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

Hearing Aid Equipment
15300 WEST GRANGE AVENUE
NEW BERLIN, WI 53151

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 1063899680. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Costco Optical #1212.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 15300 West Grange Avenue, New Berlin, WI 53151. The listed phone number is (425) 313-8100.

What is Costco Wholesale Corporation's specialty?

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

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 February 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.