NPI age
11 years
Enumerated 2015-02-09
● 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
355 E Neider Ave
Coeur D Alene, ID 838153723
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Art Salas
Avp Optical
📞 2086767355
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Huy Bui, PHARM D Pharmacist NPI 1598540296
- Kelsi Butherus, O.D. Optometrist NPI 1174762389
- Roy Clapper, OD Optometrist NPI 1104934686
- John Gates, R.PH. Pharmacist NPI 1144592080
- Jean Hansen, PHARMACIST Pharmacist NPI 1548539240
- Angela Meerdink, RPH Pharmacist NPI 1003239021
- Mickayla Sampilo Pharmacist NPI 1770313751
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 # 773
-
Costco Optical # 773
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Costco Wholesale Corporation.
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Request a quote →How to verify this organization
- 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.