Costco Optical #204

LBN: Costco Wholesale Corporation
Costco Optical #204 is an health care organization with primary practice located at 4725 W Ox Rd , Fairfax VA 22030-6125. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (703) 332-3200, or through Salas, Art via phone (703) 332-3201.

Contact Information

Primary practice address
4725 W Ox Rd Fairfax VA 22030-6125
Phone: (703) 332-3200
Fax: (703) 802-9137
Website:
Map and Directions
Authorized official contact:
Name: Salas, Art
Phone: (703) 332-3201

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1184018418
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Optical #204
Authorized official Salas, Art
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 25th, 2015
Last updated Mar 6th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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