OrganizationActive
Costco Wholesale Corporation
NPI 1063802577 · Eyewear Supplier · Manteca, CA
Costco Wholesale Corporation is a Eyewear Supplier organization in Manteca, CA (NPI 1063802577).
Provider details
- NPI number
- 1063802577
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(209) 825-8211
- License
- D7345 (CA)
Practice location
2440 Daniels St
Manteca, CA 95337-6745
Phone: (209) 825-8211
Fax: (209) 825-8204
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Registry dates
- Enumerated
- 2015-02-04
- Last updated
- 2023-08-22
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.