Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · San Jose, CA

NPI number 1619367281 Active

Practice location

5301 Almaden Expy
San Jose, CA 95118-3603

Call (408) 979-2514 Map

Fax (408) 723-0837

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6842 (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 San Jose

See all in San Jose →

NPI record

NPI: 1619367281
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 #470 · doing business as
Costco Optical #470 · doing business as

Authorized official

Art Salas
AVP Optical
(408) 979-2514

Verify this record

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.

Is this your record? How to update it.

About NPI 1619367281

Costco Wholesale Corporation's National Provider Identifier is 1619367281, issued on Feb 3, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 5, 2020.