Costco Wholesale Corporation
Costco Wholesale Corporation is an Eyewear Supplier in Fontana, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
16505 Sierra Lakes PkwyFontana, CA 92336-1256
Phone: (909) 770-5651
Fax: (909) 770-5650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence D7227 (CA) |
|---|
Record details
| NPI number | 1427447994 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Costco Wholesale Corporation |
| Authorized official | Art Salas — Avp Optical · (909) 770-5650 |
| Other names | Costco Optical #627; Costco Optical #627 |
| NPI enumerated | January 21, 2015 |
| Last updated in NPPES | June 12, 2020 |
| Certification date | June 12, 2020 |
| Mailing address | Po Box 35005, Seattle, WA 98124-3405 |
Other providers in Fontana
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Visionary Retail Management Ca Inc
15268 Summit Ave Ste 300, Fontana, CA 92336-0234 · (909) 279-2424
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Visionary Retail Management Ca Inc
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