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 1417347626

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

14555 Valley Center Dr
Victorville, CA 92395-4216
Phone: (760) 524-9913
Fax: (760) 524-9906
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7311 (CA)

Record details

NPI number1417347626
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (760) 524-9913
Other names Costco Optical #1010; Costco Optical #1010
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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