COSTCO WHOLESALE CORPORATION NPI 1821487760

NPI Information

  • NPI: 1821487760
  • Provider Name: COSTCO WHOLESALE CORPORATION
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: COSTCO OPTICAL #128
  • Address: 2660 PARK CENTER DR
    SIMI VALLEY, CA
    ZIP 93065
  • Phone: (805) 578-3303

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NPI Details

COSTCO WHOLESALE CORPORATION is an eyewear supplier in Simi Valley, 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 1821487760. The provider is registered as an organization entity type.
The provider Is Doing Business As Costco Optical #128.

The provider's business location address is:

2660 PARK CENTER DR
SIMI VALLEY, CA
ZIP 93065-207
Phone: (805) 578-3303
Fax: (805) 578-3308

The provider's authorized official is Art Salas .
The authorized official title is Avp Optical and has the following contact phone number (805) 578-3303.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 6/11/2020.

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 SupplierD6165CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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