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 1063801918

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

17900 Newhope St
Fountain Valley, CA 92708-5422
Phone: (714) 338-2188
Fax: (714) 434-1309
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6822 (CA)

Record details

NPI number1063801918
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (714) 338-2188
Other names Costco Optical #411; Costco Optical #411
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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