OrganizationActive
Costco Wholesale Corporation
NPI 1265821730 · Eyewear Supplier · Moreno Valley, CA
Costco Wholesale Corporation is a Eyewear Supplier organization in Moreno Valley, CA (NPI 1265821730).
Provider details
- NPI number
- 1265821730
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(951) 697-8900
- License
- D6839 (CA)
Practice location
12700 Day St
Moreno Valley, CA 92553-7521
Phone: (951) 697-8900
Fax: (951) 697-8901
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Registry dates
- Enumerated
- 2015-01-21
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.