NPI age
11 years
Enumerated 2015-02-10
● Active Type 2 · Organization
Subpart
Costco Wholesale Corporation
Costco Wholesale Corporation is 1 of 74 eyewear supplier organizations in Idaho.
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
2020-02-20
Source: monthly bulk 2026-05
How this organization compares
Across 74 active eyewear supplier providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2051 S Cole Rd
Boise, ID 837092815
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Art Salas
Avp Optical
📞 2083218701
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jill Lance Pharmacist NPI 1881985836
- Scott Lewis, O.D. Optometrist NPI 1255324299
- John Pitman, OD Optometrist NPI 1568640423
- Philip Rainey, OD Optometrist NPI 1437346483
- Bruce Stanger, RPH Pharmacist NPI 1730471319
- Joni Waldram, PHARMD Pharmacist NPI 1942591649
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 (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Optical #761
-
Costco Optical #761
Practice context
Multi-provider organization. 6 individual providers 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.