Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Redwood City, CA

NPI number 1154711661 Active

Practice location

2300 Middlefield Rd
Redwood City, CA 94063-2854

Call (650) 568-4051 Map

Fax (650) 568-4044

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6820 (CA)

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

14 other providers at this address

Other eyewear supplier providers in Redwood City

See all in Redwood City →

NPI record

NPI: 1154711661
Entity type: Organization (Type 2)
Issued: Feb 4, 2015
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1042 · doing business as
Costco Optical #1042 · doing business as

Authorized official

Art Salas
AVP Optical
(650) 568-4051

Verify this record

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.

Is this your record? How to update it.

About NPI 1154711661

Costco Wholesale Corporation's National Provider Identifier is 1154711661, issued on Feb 4, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Redwood City, CA. The record was last updated on Jun 5, 2020.