NPI 1063802577

Costco Wholesale Corporation

Organisation Eyewear Supplier Manteca, CA

Practice location

Address: 2440 Daniels St, Manteca, CA 95337-6745
Phone: (209) 825-8211
Fax: (209) 825-8204
Mailing address: PO Box 35005, Seattle, WA 98124-3405

Authorised official

Name: Art Salas
Title: Avp Optical
Phone: (209) 825-8211

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence D7345 (CA)

Other Eyewear Supplier providers in California →

Registry record

NPI: 1063802577
Entity type: Organization
NPI issued: 4 Feb 2015
Record last updated: 22 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.