Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Los Angeles, CA

NPI number 1801285754 Active

Practice location

2901 Los Feliz Blvd
Los Angeles, CA 90039-1502

Call (323) 644-5213 Map

Fax (323) 661-0898

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D6221 (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

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NPI record

NPI: 1801285754
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 Wholesale #130 · doing business as
Costco Wholesale #130 · doing business as

Authorized official

Art Salas
AVP Optical
(323) 644-5213

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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 1801285754

Costco Wholesale Corporation's National Provider Identifier is 1801285754, issued on Jan 15, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 11, 2020.