OrganizationActive
Costco Wholesale Corporation
NPI 1265822951 · Eyewear Supplier · Stockton, CA
Costco Wholesale Corporation is a Eyewear Supplier organization in Stockton, CA (NPI 1265822951).
Provider details
- NPI number
- 1265822951
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(203) 478-2991
- License
- D6384 (CA)
Practice location
1616 E Hammer Ln
Stockton, CA 95210-4119
Phone: (209) 478-2991
Fax: (209) 478-0276
Street-level locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Registry dates
- Enumerated
- 2015-02-02
- 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.