Costco Wholesale Corporation
Eyewear Supplier (Equipment, not the service) in San Jose, CA. Organization (NPI-2).
Details
- NPI
- 1619367281
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Feb 3, 2015
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 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) | D6842 | CA | Yes |
Other names
- Costco Optical #470 (Doing Business As)
Practice location
5301 Almaden ExpySan Jose, CA 95118-3603
Phone 408-979-2514 · Fax 408-723-0837
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Art Salas
Avp Optical
4089792514
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 26 Eyewear Supplier providers in San Jose · All 25,183 providers in San Jose
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