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 1710426200

Costco Wholesale Corporation is an Eyewear Supplier in Elk Grove, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

7400 Elk Grove Blvd
Elk Grove, CA 95757
Phone: (916) 465-6055
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1710426200
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (916) 465-6055
Other names Costco Optical #1274; Costco Optical #1274
NPI enumeratedFebruary 16, 2017
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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