Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Lakewood, CA

NPI number 1235529447 Active

Practice location

340 Lakewood Center Mall
Lakewood, CA 90712-2409

Call (562) 295-1517 Map

Fax (562) 295-1510

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D7368 (CA)

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

5 other providers at this address

Other eyewear supplier providers in Lakewood

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NPI record

NPI: 1235529447
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 #1050 · doing business as
Costco Optical #1050 · doing business as

Authorized official

Art Salas
AVP Optical
(562) 295-1517

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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 1235529447

Costco Wholesale Corporation's National Provider Identifier is 1235529447, issued on Jan 26, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Lakewood, CA. The record was last updated on Jun 12, 2020.