OrganizationActive
Costco Wholesale Corporation
NPI 1073903118 · Eyewear Supplier · La Mesa, CA
Costco Wholesale Corporation is a Eyewear Supplier organization in La Mesa, CA (NPI 1073903118).
Provider details
- NPI number
- 1073903118
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(619) 667-8515
- License
- D6258 (CA)
Practice location
8125 Fletcher Pkwy
La Mesa, CA 91942-2934
Phone: (619) 667-8515
Fax: (619) 697-1952
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.