COSTCO OPTICAL #230
NPI 1174917496
Eyewear Supplier in Holbrook, NY

Q: What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1174917496. It was assigned to this organization in the NPPES registry on March 25, 2015. The provider is doing business as Costco Optical #230.

Q: What is Costco Wholesale Corporation's specialty?

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

Active since March 25, 2015

125 BEACON DR, HOLBROOK, NY 11741(631) 244-0292(631) 244-0389 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Costco Optical #230 NPPES

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

COSTCO OPTICAL #230 (NPI 1174917496) is a healthcare organization registered as an eyewear supplier in Holbrook, New York and active in the NPI registry since March 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1174917496

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameCOSTCO WHOLESALE CORPORATION

Location Address125 BEACON DRHolbrook, NY 11741-4309

Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922

Phone(631) 244-0292

Fax(631) 244-0389

Organization SubpartYes

Authorized OfficialArt SalasAvp Optical · (631) 244-9275

Enumeration DateMarch 25, 2015

Last NPPES UpdateMarch 4, 2020

NPPES CertifiedMarch 4, 2020

✔ NPI 1174917496 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.

125 BEACON DR, Holbrook, NY 11741

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Other Names 1

Doing Business AsCostco Optical #230

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Costco Wholesale Corporation carries, from the Medicare DMEPOS supplier directory.

Costco Wholesale Corporation

DMEPOS supplier · Holbrook, NY

✔

Accepts Medicare assignment

Costco Wholesale Corporation agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20344379

Medicare Participant SinceJanuary 1, 2023

Supplier Location125 Beacon DrHolbrook, NY 11741

Phone(631) 244-8676

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

ARLENE EDITH MINKOFF O.D.

Optometrist