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 1912396482

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

Licensed in
CA
In the registry since
2015

Practice location Address checks out

11000 Garden Grove Blvd
Garden Grove, CA 92843-1206
Phone: (714) 638-6301
Fax: (714) 530-1379
Show map & directions

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

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence D5993 (CA)

Record details

NPI number1912396482
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Art Salas — Avp Optical · (714) 638-6301
Other names Costco Optical #126; Costco Optical #126
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020
Mailing addressPo Box 35005, Seattle, WA 98124-3405