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 1821488404

Costco Wholesale Corporation is an Eyewear Supplier in Modesto, 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

3801 Pelandale Ave Ste A
Modesto, CA 95356-8300
Phone: (209) 342-4901
Fax: (209) 342-4905
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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 D6171 (CA)

Record details

NPI number1821488404
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (209) 342-4901
Other names Costco Optical #661; Costco Optical #661
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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