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 1154710002

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2655 El Camino Real
Tustin, CA 92782-8918
Phone: (714) 838-0498
Fax: (714) 838-7082
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D5895 (CA)

Record details

NPI number1154710002
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (714) 838-0498
Other names Costco Optical #122; Costco Optical #122
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in Tustin