Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · La Quinta, CA
NPI 1235528795 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1235528795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- D7224 (CA)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 79795 Highway 111
La Quinta, CA 92253-4756 - Phone
- (760) 775-0363
- Fax
- (760) 775-0365
- NPI assigned
- Jan 21, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (760) 775-0363
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | D7224 | CA | Yes |
Addresses
Primary practice location
79795 Highway 111
La Quinta, CA 92253-4756
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #638
Other providers in La Quinta, CA
- Raeann L Coombs
- Carol Sue Cornell
- Teri Cortland
- Marquita Eleanor Cosentino Murrietta
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- County of Riverside
- Graciela Cristerna
- Patricia Cruz Reyes
- Mary Jo Cummiskey
All providers in La Quinta, CA · Eyewear Supplier in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.