Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Merced, CA

NPI number 1548650286 Active

Practice location

1445 R St
Merced, CA 95340-5850

Call (209) 725-5025 Map

Fax (209) 725-5033

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D5812 (CA)

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

10 other providers at this address

Other eyewear supplier providers in Merced

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NPI record

NPI: 1548650286
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 #142 · doing business as
Costco Optical #142 · doing business as

Authorized official

Art Salas
AVP Optical
(209) 725-5025

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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 1548650286

Costco Wholesale Corporation's National Provider Identifier is 1548650286, issued on Feb 3, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Merced, CA. The record was last updated on Jun 5, 2020.