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COSTCO OPTICAL #784
NPI 1417348541
Eyewear Supplier in Grand Rapids, MI

Active since February 11, 2015
5100 28TH ST SE, GRAND RAPIDS, MI 49512(616) 233-4401(616) 233-4422 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 #784 NPPES

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

COSTCO OPTICAL #784 (NPI 1417348541) is a healthcare organization registered as an eyewear supplier in Grand Rapids, Michigan and active in the NPI registry since February 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1417348541
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address5100 28TH ST SEGrand Rapids, MI 49512-2049
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-1810 · Fax (425) 313-6922
Phone(616) 233-4401
Fax(616) 233-4422
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (616) 233-4403
Enumeration DateFebruary 11, 2015
Last NPPES UpdateFebruary 26, 2020
✔ NPI 1417348541 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.
5100 28TH ST SE, Grand Rapids, MI 49512
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Other Names 1

Doing Business AsCostco Optical #784

Accepted Insurance

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

Other Providers at the Same Location NPPES 11

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

AMY SLYWKA RPH
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4428
DR. SARAH KAY HANSEN O.D.
Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4403
NAVJIT KAUR
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4428
DR. ANNIE MARIE OESCH O.D.
Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4403
COSTCO WHOLESALE CORPORATION
Clinic/Center (Corporate Health)
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4428
JULIE MORALES RPH
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4428
EMILY RENAE GILLETTE OD
Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4403
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 233-4427

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 1417348541. It was assigned to this organization in the NPPES registry on February 11, 2015. The provider is doing business as Costco Optical #784.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 5100 28th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 233-4401.

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 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.