Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1043609506

Costco Wholesale Corporation is an Eyewear Supplier in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

11800 4th St
Rancho Cucamonga, CA 91730-6129
Phone: (909) 581-1701
Fax: (909) 581-1717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6856 (CA)

Record details

NPI number1043609506
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (909) 581-1701
Other names Costco Optical #678; Costco Optical #678
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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