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Costco Wholesale Corporation — NPI 1821487760, Simi Valley, CA | NPI Central

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NPI 1821487760

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Costco Wholesale Corporation

NPI 1821487760 · Eyewear Supplier · Simi Valley, CA

Provider details

NPI number: 1821487760
Entity type: Organization
Primary specialty: Eyewear SupplierSuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Art Salas, Avp Optical(805) 578-3303
License: D6165 (CA)

Specialties & taxonomies

Eyewear SupplierPrimary332H00000XLicense D6165 (CA)
Suppliers

Practice location

2660 Park Center Dr

Simi Valley, CA 93065-6207

Phone: (805) 578-3303

Fax: (805) 578-3308

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 #128
Doing business as: Costco Optical #128

Registry dates

Enumerated: 2015-01-15
Last updated: 2020-06-11
Certified: 2020-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.