Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Yorba Linda, CA

NPI number 1225427800 Active

Practice location

22633 Savi Ranch Pkwy
Yorba Linda, CA 92887-4647

Call (714) 282-6620 Map

Fax (714) 282-6642

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6833 (CA)

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

9 other providers at this address

NPI record

NPI: 1225427800
Entity type: Organization (Type 2)
Issued: Jan 20, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #445 · doing business as
Costco Optical #445 · doing business as

Authorized official

Art Salas
AVP Optical
(714) 282-6620

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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 1225427800

Costco Wholesale Corporation's National Provider Identifier is 1225427800, issued on Jan 20, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Yorba Linda, CA. The record was last updated on Jun 11, 2020.