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 1235529447

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

340 Lakewood Center Mall
Lakewood, CA 90712-2409
Phone: (562) 295-1517
Fax: (562) 295-1510
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7368 (CA)

Record details

NPI number1235529447
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (562) 295-1517
Other names Costco Optical #1050; Costco Optical #1050
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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