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COSTCO WHOLESALE CORPORATION NPI 1548650112


NPI Information

NPI: 1548650112
Provider Name: COSTCO WHOLESALE CORPORATION

Doing Business As: COSTCO OPTICAL #438

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
11260 WHITE ROCK RD
RANCHO CORDOVA, CA
ZIP 95742
Phone: (916) 631-7594
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COSTCO WHOLESALE CORPORATION is an eyewear supplier in Rancho Cordova, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. COSTCO WHOLESALE CORPORATION NPI is 1548650112. The provider is registered as an organization entity type.
The provider Is Doing Business As Costco Optical #438.

The provider's business location address is:

11260 WHITE ROCK RD
RANCHO CORDOVA, CA
ZIP 95742-571
Phone: (916) 631-7594
Fax: (916) 724-2242

The provider's authorized official is Art Salas .
The authorized official title is Avp Optical and has the following contact phone number (916) 631-7594.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 6/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierD6824CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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