1. Home
  2. Directory
  3. Michigan
  4. Traverse City
  5. Eyewear Supplier
  6. NPI Profile

COSTCO OPTICAL #1279
NPI 1497264667
Eyewear Supplier in Traverse City, MI

Active since September 20, 2017CLIA Certified · 3 labs
125 E SOUTH AIRPORT RD, TRAVERSE CITY, MI 49686(425) 313-6275 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2020, Jul 24, 2018, Sep 20, 2017 (3 updates tracked since 2017).

About Costco Optical #1279 NPPES

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

COSTCO OPTICAL #1279 (NPI 1497264667) is a healthcare organization registered as an eyewear supplier in Traverse City, Michigan and active in the NPI registry since September 2017. The organization holds 3 active CLIA laboratory certificates and lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1497264667
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address125 E SOUTH AIRPORT RDTraverse City, MI 49686
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100
Phone(425) 313-6275
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (231) 252-7013
Enumeration DateSeptember 20, 2017
Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration
✔ NPI 1497264667 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 E SOUTH AIRPORT RD, Traverse City, MI 49686
Open in Google Maps ↗

Other Names 1

Doing Business AsCostco Optical #1279

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 3

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 50D2014240

Costco Wholesale #1086 · Camas, WA
Active · expires Apr 4, 2028
CLIA Number50D2014240
Laboratory TypePharmacy
Certificate Effective DateOctober 4, 2010
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale #108619610 SE 1st St, Camas, WA 98607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2272184

Costco Wholesale Corporation · Saint Augustine, FL
Active · expires Nov 15, 2026
CLIA Number10D2272184
Laboratory TypePharmacy
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorVi Dam Janusz
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale Corporation215 World Commerce Pkwy, Saint Augustine, FL 32092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2270667

Costco Wholesale Corporation · Melbourne, FL
Active · expires Oct 18, 2026
CLIA Number10D2270667
Laboratory TypePharmacy
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorConnor Patrick Mcclinton
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale Corporation4305 Pineda Causeway, Melbourne, FL 32940
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
125 E SOUTH AIRPORT RD
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 252-7010
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
125 E SOUTH AIRPORT RD
TRAVERSE CITY, MI 49686
Grand Traverse County (425) 313-8100

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 1497264667. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is doing business as Costco Optical #1279.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 125 E South Airport Rd, Traverse City, MI 49686. The listed phone number is (425) 313-6275.

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 CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.