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 1871983445

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

2201 Verne Roberts Cir
Antioch, CA 94509-7911
Phone: (925) 757-6091
Fax: (925) 757-1980
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D5964 (CA)

Record details

NPI number1871983445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (925) 757-6091
Other names Costco Optical #1002; Costco Optical #1002
NPI enumeratedFebruary 3, 2015
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405

Other providers in Antioch