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 1295125334

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

12350 Carmel Mountain Rd
San Diego, CA 92128-4616
Phone: (858) 675-0619
Fax: (858) 675-0876
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6836 (CA)

Record details

NPI number1295125334
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (858) 675-0619
Other names Costco Optical #452; Costco Optical #452
NPI enumeratedJanuary 28, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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