OrganizationActive
Costco Wholesale Corporation
NPI 1366832404 · Eyewear Supplier · San Diego, CA
Provider details
- NPI number
- 1366832404
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(619) 358-2303
- License
- D7089 (CA)
Specialties & taxonomies
Suppliers
Practice location
650 Gateway Center Dr
San Diego, CA 92102-4530
Phone: (619) 358-2303
Fax: (619) 358-2305
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #483
- Doing business as
- Costco Optical #483
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.