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Costco Wholesale Corporation — NPI 1295125334, San Diego, CA | NPI Central

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NPI 1295125334

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Costco Wholesale Corporation

NPI 1295125334 · Eyewear Supplier · San Diego, CA

Provider details

NPI number: 1295125334
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(858) 675-0619
License: D6836 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense D6836 (CA)
Suppliers

Practice location

12350 Carmel Mountain Rd

San Diego, CA 92128-4616

Phone: (858) 675-0619

Fax: (858) 675-0876

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

Po Box 35005

Seattle, WA 98124-3405

Other names (DBA / former)

Doing business as: Costco Optical #452
Doing business as: Costco Optical #452

Registry dates

Enumerated: 2015-01-28
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.