Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Hawthorne, CA

NPI number 1144619602 Active

Practice location

14501 Hindry Ave
Hawthorne, CA 90250-6748

Call (310) 727-0403 Map

Fax (310) 727-0405

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D3998 (CA)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

8 other providers at this address

Other eyewear supplier providers in Hawthorne

For Eyes Optical of California, IncEyewear Supplier Hawthorne, CA NPI 1174099220

See all in Hawthorne →

NPI record

NPI: 1144619602
Entity type: Organization (Type 2)
Issued: Jan 21, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #671 · doing business as
Costco Optical #671 · doing business as

Authorized official

Art Salas
AVP Optical
(310) 727-0403

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144619602

Costco Wholesale Corporation's National Provider Identifier is 1144619602, issued on Jan 21, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Hawthorne, CA. The record was last updated on Jun 11, 2020.