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COSTCO OPTICAL #1029
NPI 1073904330
Eyewear Supplier in Covington, WA

Active since February 09, 2015CLIA 50D1089762 · Waiver
27520 COVINGTON WAY SE, COVINGTON, WA 98042(253) 796-1004(253) 796-1006 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Costco Optical #1029 NPPES

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

COSTCO OPTICAL #1029 (NPI 1073904330) is a healthcare organization registered as an eyewear supplier in Covington, Washington and active in the NPI registry since February 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

NPI1073904330
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address27520 COVINGTON WAY SECovington, WA 98042-9100
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Phone(253) 796-1004
Fax(253) 796-1006
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (253) 796-1004
Enumeration DateFebruary 9, 2015
Last NPPES UpdateFebruary 26, 2020
✔ NPI 1073904330 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.
27520 COVINGTON WAY SE, Covington, WA 98042
Open in Google Maps ↗

Other Names 1

Doing Business AsCostco Optical #1029

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 50D1089762

Costco Wholesale #1029 · Covington, WA
Active · expires Apr 4, 2028
CLIA Number50D1089762
Laboratory TypeIndustrial
Certificate Effective DateSeptember 25, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-2970
Laboratory LocationCostco Wholesale #102927520 Covington Way SE, Covington, WA 98042
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1026
HYUN JIN PARK PHARMD
Pharmacist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1004
CASEY S DUCLOS PHARMD
Pharmacist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1011
ALEXANDER KIM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1011
JUSTIN BLAKE JUE O.D.
Optometrist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1015
LORI POORE RPH
Pharmacist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1011
CELITA LOUISE SUMMERRISE
Pharmacist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1011
MY LITTLE EYE SHOP LLC
Optometrist
27520 COVINGTON WAY SE
COVINGTON, WA 98042
King County (253) 796-1015

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 1073904330. It was assigned to this organization in the NPPES registry on February 9, 2015. The provider is doing business as Costco Optical #1029.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 27520 Covington Way SE, Covington, WA 98042. The listed phone number is (253) 796-1004.

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 50D1089762) 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 February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.