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 1053700906

Costco Wholesale Corporation is an Eyewear Supplier in Marina del Rey, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

13463 Washington Blvd
Marina del Rey, CA 90292-5658
Phone: (310) 754-2001
Fax: (310) 754-2005
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6455 (CA)

Record details

NPI number1053700906
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (310) 754-2001
Other names Costco Optical #479; Costco Optical #479
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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