COSTCO OPTICAL #669
NPI 1417341801
Eyewear Supplier in Southlake, TX

Active since March 24, 2015
2601 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092(817) 749-2800(817) 749-2817 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costco Optical #669 NPPES

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

COSTCO OPTICAL #669 (NPI 1417341801) is a healthcare organization registered as an eyewear supplier in Southlake, Texas and active in the NPI registry since March 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1417341801
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address2601 E STATE HIGHWAY 114Southlake, TX 76092-6668
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Fax(817) 749-2817
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (817) 749-2801
Enumeration DateMarch 24, 2015
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
NPI 1417341801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in TX · CP20045
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
2601 E STATE HIGHWAY 114, Southlake, TX 76092

Other Names 1

Doing Business AsCostco Optical #669

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Pharmacy (Community/Retail Pharmacy)
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Pharmacist
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Hearing Aid Equipment
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Pharmacist
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Pharmacist
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Pharmacist
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Pharmacist
2601 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092

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 1417341801. It was assigned to this organization in the NPPES registry on March 24, 2015. The provider is doing business as Costco Optical #669.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 2601 E State Highway 114, Southlake, TX 76092. The listed phone number is (817) 749-2800.

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 March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.