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 1710376280

Costco Wholesale Corporation is an Eyewear Supplier in Corona, 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

480 N McKinley St
Corona, CA 92879-1291
Phone: (951) 279-8887
Fax: (951) 279-2290
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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 D6855 (CA)

Record details

NPI number1710376280
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (951) 279-8887
Other names Costco Optical #432; Costco Optical #432
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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