Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Fullerton, CA
NPI 1275922742 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1275922742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- D6828 (CA)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 900 S Harbor Blvd
Fullerton, CA 92832-3025 - Phone
- (714) 738-7527
- Fax
- (714) 738-7536
- NPI assigned
- Jan 21, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (714) 738-7527
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 | D6828 | CA | Yes |
Addresses
Primary practice location
900 S Harbor Blvd
Fullerton, CA 92832-3025
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #418
Other providers in Fullerton, CA
- Daniel Cosa
- Nicole San Diego Cosico
- Gabriel Cossio Cedano
- Christine Costa
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Kara Brianne Costello
- Susan A Cotter
- Paola Cotto
- Kathryn Sue Coughtrie
All providers in Fullerton, 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.