Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Temecula, CA
NPI 1275923310 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1275923310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- D5891 (CA)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 26610 Ynez Rd
Temecula, CA 92591-4697 - Phone
- (951) 719-2001
- Fax
- (951) 719-2005
- NPI assigned
- Jan 28, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (951) 719-2001
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
- Part of
- Costco Pharmacy 302
Locations
26610 Ynez Rd
Temecula, CA 92591
Phone (951) 719-2002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | D5891 | CA | Yes |
Addresses
Primary practice location
26610 Ynez Rd
Temecula, CA 92591-4697
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #491
Other providers in Temecula, CA
- Katherine Cortez
- Marielle Llanes Cortez
- Mirella Cortez
- Justin Kevin Cosgrove
- Yesenia A Coss
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Jennifer Rebecca Costello
- Natasha L Cotton Latimer
- Mary Cottrell
All providers in Temecula, 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 5, 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.