Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Pacoima, CA

NPI number 1225428436 Active

Practice location

13550 Paxton St
Pacoima, CA 91331-2352

Call (818) 272-2700 Map

Fax (818) 272-2704

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D7518 (CA)

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

6 other providers at this address

NPI record

NPI: 1225428436
Entity type: Organization (Type 2)
Issued: Jan 26, 2015
Last updated: Jun 12, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1071 · doing business as
Costco Optical #1071 · doing business as

Authorized official

Art Salas
AVP Optical
(818) 272-2700

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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 1225428436

Costco Wholesale Corporation's National Provider Identifier is 1225428436, issued on Jan 26, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Pacoima, CA. The record was last updated on Jun 12, 2020.