Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Chino Hills, CA

NPI number 1538558481 Active

Practice location

13111 Peyton Dr
Chino Hills, CA 91709-6002

Call (909) 627-6896 Map

Fax (909) 590-8928

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6844 (CA)

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

11 other providers at this address

Other eyewear supplier providers in Chino Hills

Luxottica of America Inc.Eyewear Supplier Chino Hills, CA NPI 1376710368

See all in Chino Hills →

NPI record

NPI: 1538558481
Entity type: Organization (Type 2)
Issued: Jan 15, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #473 · doing business as
Costco Optical #473 · doing business as

Authorized official

Art Salas
AVP Optical
(909) 627-6896

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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 1538558481

Costco Wholesale Corporation's National Provider Identifier is 1538558481, issued on Jan 15, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Chino Hills, CA. The record was last updated on Jun 11, 2020.