Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in Fullerton, CA. Organization (NPI-2).
Details
- NPI
- 1275922742
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Jan 21, 2015
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | D6828 | CA | Yes |
Other names
- Costco Optical #418 (Doing Business As)
Practice location
900 S Harbor BlvdFullerton, CA 92832-3025
Phone 714-738-7527 · Fax 714-738-7536
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
7147387527
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Eyewear Supplier providers in Fullerton · All 6,385 providers in Fullerton
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