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Costco Wholesale Corporation

Organization Active NPI Eyewear Supplier · Azusa, CA

NPI 1376932848 · NPPES record last updated Jun 11, 2020

Key facts

NPI
1376932848
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
License
D6823 (CA)
Legal business name
COSTCO WHOLESALE CORPORATION
Practice address
1220 W Foothill Blvd
Azusa, CA 91702-2819
Phone
(626) 812-7925
Fax
(626) 812-7920
NPI assigned
Jan 21, 2015
Organization subpart
Yes
Parent organization (as reported)
COSTCO WHOLESALE CORPORATION

Authorized official

Name
Art Salas
Title
Avp Optical
Phone
(626) 812-7925

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Costco Pharmacy 302 (1,506 organizations share this tax ID)
Part of
Costco Pharmacy 302

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X D6823 CA Yes

Addresses

Primary practice location

1220 W Foothill Blvd
Azusa, CA 91702-2819

Mailing address

PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100

Other names

  • Costco Optical #412 Doing business as

Other providers in Azusa, CA

All providers in Azusa, CA · Eyewear Supplier in California

Sources for this page

Verify at the official NPI Registry.