Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · San Dimas, CA

NPI number 1861881336 Active

Practice location

520 N Lone Hill Ave
San Dimas, CA 91773-1725

Call (909) 962-5518 Map

Fax (909) 562-5511

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	D7322 (CA)

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

8 other providers at this address

Other eyewear supplier providers in San Dimas

Visionary Retail Management Ca, IncEyewear Supplier San Dimas, CA NPI 1033954920

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NPI record

NPI: 1861881336
Entity type: Organization (Type 2)
Issued: Jan 21, 2015
Last updated: Jun 11, 2020
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1015 · doing business as
Costco Optical #1015 · doing business as

Authorized official

Art Salas
AVP Optical
(909) 962-5518

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About NPI 1861881336

Costco Wholesale Corporation's National Provider Identifier is 1861881336, issued on Jan 21, 2015. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Dimas, CA. The record was last updated on Jun 11, 2020.