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 1609266147

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2680 Reynolds Ranch Pkwy
Lodi, CA 95240-6848
Phone: (209) 366-7300
Fax: (209) 366-7310
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7583 (CA)

Record details

NPI number1609266147
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (209) 366-7300
Other names Costco Optical #1091; Costco Optical #1091
NPI enumeratedFebruary 4, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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