Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Poway, CA

NPI number 1629468764 Active

Practice location

12155 Tech Center Dr
Poway, CA 92064-7156

Call (858) 848-2451 Map

Fax (858) 848-2472

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6993 (CA)

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

9 other providers at this address

Other eyewear supplier providers in Poway

Walmart Stores, Inc.Eyewear Supplier Poway, CA NPI 1073601555

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NPI record

NPI: 1629468764
Entity type: Organization (Type 2)
Issued: Jan 28, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #775 · doing business as
Costco Optical #775 · doing business as

Authorized official

Art Salas
AVP Optical
(858) 848-2451

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About NPI 1629468764

Costco Wholesale Corporation's National Provider Identifier is 1629468764, issued on Jan 28, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Poway, CA. The record was last updated on Jun 11, 2020.