NPI age
5 years
Enumerated 2020-12-22
● Active Type 2 · Organization
Subpart
Costco Wholesale Corporation
Costco Wholesale Corporation is 1 of 526 eyewear supplier organizations in Georgia.
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Salas
Avp Optical
Last NPPES update
2020-12-22
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1715 Charles Hardy Pkwy
Dallas, GA 301573161
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Art Salas
Avp Optical
📞 4253138100
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Preston Smith, O.D. Optometrist NPI 1710485008
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Optical #1389
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Costco Wholesale Corporation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.