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 1821487760

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2660 Park Center Dr
Simi Valley, CA 93065-6207
Phone: (805) 578-3303
Fax: (805) 578-3308
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D6165 (CA)

Record details

NPI number1821487760
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (805) 578-3303
Other names Costco Optical #128; Costco Optical #128
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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