Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Inglewood, CA

NPI number 1720477664 Active

Practice location

3560 W Century Blvd
Inglewood, CA 90303-1201

Call (310) 242-2775 Map

Fax (310) 242-2792

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6936 (CA)

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

4 other providers at this address

Other eyewear supplier providers in Inglewood

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NPI record

NPI: 1720477664
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 #769 · doing business as
Costco Optical #769 · doing business as

Authorized official

Art Salas
AVP Optical
(310) 242-2775

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About NPI 1720477664

Costco Wholesale Corporation's National Provider Identifier is 1720477664, issued on Jan 15, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Inglewood, CA. The record was last updated on Jun 11, 2020.