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Costco Wholesale Corporation — NPI 1235528795, La Quinta, CA | NPI Central

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Costco Wholesale Corporation

NPI 1235528795 · Eyewear Supplier · La Quinta, CA

Provider details

NPI number: 1235528795
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Authorized official: Art Salas, Avp Optical
License: D7224 (CA)

Practice location

79795 Highway 111

La Quinta, CA 92253-4756

Phone: (760) 775-0363

Fax: (760) 775-0365

More CA providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Registry dates

Enumerated: 2015-01-21
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.