NPI age
5 years
Enumerated 2020-07-10
● 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
2020-07-10
Source: monthly bulk 2026-05
How this organization compares
Across 74 active eyewear supplier providers in Idaho.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3403 W Chinden Blvd
Meridian, ID 836467151
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Art Salas
Avp Optical
📞 4253136690
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Audrieanna Browning, PHARMD Pharmacist NPI 1750004198
- Don Griner, PHARMD Pharmacist NPI 1225753981
- Alan Lang, PHARMD Pharmacist NPI 1477222644
- Colton Plouzek, PHARMD Pharmacist NPI 1245840065
- Vicky Tang, PHARMD Pharmacist NPI 1881112480
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 #1343
Practice context
Multi-provider organization. 5 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.