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 1861881336

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

520 N Lone Hill Ave
San Dimas, CA 91773-1725
Phone: (909) 962-5518
Fax: (909) 562-5511
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D7322 (CA)

Record details

NPI number1861881336
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (909) 962-5518
Other names Costco Optical #1015; Costco Optical #1015
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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