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Costco Wholesale Corporation — NPI 1376933945, Santa Cruz, CA | NPI Central

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NPI 1376933945

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Costco Wholesale Corporation

NPI 1376933945 · Eyewear Supplier · Santa Cruz, CA

Provider details

NPI number: 1376933945
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(831) 824-1010
License: D6916 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense D6916 (CA)
Suppliers

Practice location

220 Sylvania Ave

Santa Cruz, CA 95060-2161

Phone: (831) 824-1010

Fax: (831) 469-0643

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 #149
Doing business as: Costco Optical #149

Registry dates

Enumerated: 2015-02-03
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.