NPI age
6 years
Enumerated 2020-05-12
● 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
2020-05-12
Source: monthly bulk 2026-05
How this organization compares
Across 74 active eyewear supplier providers in Idaho.
NPI age
6 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2495 E Lincoln Rd
Idaho Falls, ID 834012203
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Art Salas
Avp Optical
📞 4253136690
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shane Withers, PHARMD, BCPS Pharmacist NPI 1336790567
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 #1379
Practice context
Multi-provider organization. 1 individual provider 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.