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 1063802577

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2440 Daniels St
Manteca, CA 95337-6745
Phone: (209) 825-8211
Fax: (209) 825-8204
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7345 (CA)

Record details

NPI number1063802577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (209) 825-8211
Other names Costco Optical #1031; Costco Optical #1031
NPI enumeratedFebruary 4, 2015
Last updated in NPPESAugust 22, 2023
Certification dateAugust 1, 2023
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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