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Costco Wholesale Corporation — NPI 1154710002, Tustin, CA | NPI Central

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NPI 1154710002

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Costco Wholesale Corporation

NPI 1154710002 · Eyewear Supplier · Tustin, CA

Provider details

NPI number: 1154710002
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Authorized official: Art Salas, Avp Optical
License: D5895 (CA)

Practice location

2655 El Camino Real

Tustin, CA 92782-8918

Phone: (714) 838-0498

Fax: (714) 838-7082

More CA providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Registry dates

Enumerated: 2015-01-15
Last updated: 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.