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Costco Wholesale Corporation — NPI 1366832404, San Diego, CA | NPI Central

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NPI 1366832404

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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

Eyewear SupplierPrimary332H00000XLicense D7089 (CA)
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

More CA providers

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.