Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1619367307

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

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1900 Santa Rosa Ave
Santa Rosa, CA 95407-7621
Phone: (707) 578-7497
Fax: (707) 566-6422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6121 (CA)

Record details

NPI number1619367307
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (707) 578-7497
Other names Costco Optical #41; Costco Optical #41
NPI enumeratedFebruary 2, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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