OrganizationActive
Costco Wholesale Corporation
NPI 1619367281 · Eyewear Supplier · San Jose, CA
Provider details
- NPI number
- 1619367281
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Art Salas, Avp Optical(408) 979-2514
- License
- D6842 (CA)
Specialties & taxonomies
Suppliers
Practice location
5301 Almaden Expy
San Jose, CA 95118-3603
Phone: (408) 979-2514
Fax: (408) 723-0837
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Optical #470
- Doing business as
- Costco Optical #470
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.