1. Home
  2. Directory
  3. California
  4. Marina Del Rey
  5. Eyewear Supplier
  6. NPI Profile

COSTCO OPTICAL #479
NPI 1053700906
Eyewear Supplier in Marina Del Rey, CA

Active since January 15, 2015
13463 WASHINGTON BLVD, MARINA DEL REY, CA 90292(310) 754-2001(310) 754-2005 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Costco Optical #479 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO OPTICAL #479 (NPI 1053700906) is a healthcare organization registered as an eyewear supplier in Marina Del Rey, California and active in the NPI registry since January 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1053700906
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address13463 WASHINGTON BLVDMarina Del Rey, CA 90292-5658
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Phone(310) 754-2001
Fax(310) 754-2005
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (310) 754-2001
Enumeration DateJanuary 15, 2015
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1053700906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in CA · D6455
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
13463 WASHINGTON BLVD, Marina Del Rey, CA 90292
Open in Google Maps ↗

Other Names 1

Doing Business AsCostco Optical #479

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID YOO O.D.
Optometrist
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 821-8382
HIROKO HORSTMAN
Pharmacist
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 754-2002
MS. ALESA IONE WILLIAMS COTA
Occupational Therapy Assistant
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (323) 821-5868
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 754-2002
ALICE JEONG
Pharmacist
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 754-2003
DR. KAREN EIKO BRODERSEN PHARM.D.
Pharmacist
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 754-2002
DR. DOUG NISHIDA O.D.
Optometrist
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 821-8382
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
13463 WASHINGTON BLVD
MARINA DEL REY, CA 90292
Los Angeles County (310) 754-2029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1053700906. It was assigned to this organization in the NPPES registry on January 15, 2015. The provider is doing business as Costco Optical #479.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 13463 Washington Blvd, Marina Del Rey, CA 90292. The listed phone number is (310) 754-2001.

What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

What insurance does Costco Wholesale Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Costco Wholesale Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.