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 1174912646

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1099 E Hospitality Ln
San Bernardino, CA 92408-2813
Phone: (909) 478-3445
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D4126 (CA)

Record details

NPI number1174912646
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (909) 478-3445
Other names Costco Optical #478; Costco Optical #478
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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