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 1265821730

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

12700 Day St
Moreno Valley, CA 92553-7521
Phone: (951) 697-8900
Fax: (951) 697-8901
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6839 (CA)

Record details

NPI number1265821730
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (951) 697-8900
Other names Costco Optical #455; Costco Optical #455
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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