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Costco Wholesale Corporation — NPI 1548650286, Merced, CA | NPI Central

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NPI 1548650286

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Costco Wholesale Corporation

NPI 1548650286 · Eyewear Supplier · Merced, CA

Provider details

NPI number: 1548650286
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(209) 725-5025
License: D5812 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense D5812 (CA)
Suppliers

Practice location

1445 R St

Merced, CA 95340-5850

Phone: (209) 725-5025

Fax: (209) 725-5033

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 #142
Doing business as: Costco Optical #142

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.