Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Clovis, CA
NPI 1902296643 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1902296643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- D5961 (CA)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 2270 Clovis Ave
Clovis, CA 93612-5611 - Phone
- (559) 291-3377
- Fax
- (559) 291-3385
- NPI assigned
- Feb 3, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Art Salas
- Title
- Avp Optical
- Phone
- (559) 291-3377
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 | D5961 | CA | Yes |
Addresses
Primary practice location
2270 Clovis Ave
Clovis, CA 93612-5611
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1360
Other providers in Clovis, CA
- Lori Josefina Cortez
- May Cortez
- Necorson Cortez
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Jennifer Cota
- County of Fresno
- Yadira Covarrubias
- Covenant Living, Inc.
- Darcy Covey
All providers in Clovis, 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.