Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Mountain View, CA

NPI number 1457741191 Active

Practice location

1000 N Rengstorff Ave
Mountain View, CA 94043-1716

Call (650) 386-8028 Map

Fax (650) 988-1164

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D7076 (CA)

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

7 other providers at this address

Other eyewear supplier providers in Mountain View

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NPI record

NPI: 1457741191
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 #143 · doing business as
Costco Optical #143 · doing business as

Authorized official

Art Salas
AVP Optical
(650) 386-8021

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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 1457741191

Costco Wholesale Corporation's National Provider Identifier is 1457741191, issued on Feb 3, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mountain View, CA. The record was last updated on Jun 5, 2020.