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NPI 1275922742

OrganizationActive

Costco Wholesale Corporation

NPI 1275922742 · Eyewear Supplier · Fullerton, CA

Provider details

NPI number: 1275922742
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Authorized official: Art Salas, Avp Optical
License: D6828 (CA)

Practice location

900 S Harbor Blvd

Fullerton, CA 92832-3025

Phone: (714) 738-7527

Fax: (714) 738-7536

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.

Costco Wholesale Corporation — NPI 1275922742, Fullerton, CA | NPI Central