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Costco Wholesale Corporation — NPI 1063802635, Sacramento, CA | NPI Central

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NPI 1063802635

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Costco Wholesale Corporation

NPI 1063802635 · Eyewear Supplier · Sacramento, CA

Provider details

NPI number: 1063802635
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(916) 563-7020
License: D6843 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense D6843 (CA)
Suppliers

Practice location

1600 Expo Pkwy

Sacramento, CA 95815-4228

Phone: (916) 563-7020

Fax: (916) 648-1083

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #471
Doing business as: Costco Optical #471

Registry dates

Enumerated: 2015-02-03
Last updated: 2020-06-05
Certified: 2020-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.