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 1225428436

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

13550 Paxton St
Pacoima, CA 91331-2352
Phone: (818) 272-2700
Fax: (818) 272-2704
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7518 (CA)

Record details

NPI number1225428436
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (818) 272-2700
Other names Costco Optical #1071; Costco Optical #1071
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405