Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Rohnert Park, CA

NPI number 1386034965 Active

Practice location

5901 Redwood Dr
Rohnert Park, CA 94928-2076

Call (707) 540-9111 Map

Fax (707) 540-9130

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6867 (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

Other eyewear supplier providers in Rohnert Park

Wal-Mart Stores, Inc.Eyewear Supplier Rohnert Park, CA NPI 1255417663

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NPI record

NPI: 1386034965
Entity type: Organization (Type 2)
Issued: Feb 3, 2015
Last updated: Jun 5, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #659 · doing business as
Costco Optical #659 · doing business as

Authorized official

Art Salas
AVP Optical
(707) 540-9111

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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 1386034965

Costco Wholesale Corporation's National Provider Identifier is 1386034965, issued on Feb 3, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Rohnert Park, CA. The record was last updated on Jun 5, 2020.