COSTCO OPTICAL #1004
NPI 1417347089
Eyewear Supplier in San Jose, CA

Active since February 03, 2015
1709 AUTOMATION PKWY, SAN JOSE, CA 95131(408) 678-2161(408) 678-2154 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Costco Optical #1004 NPPES

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

COSTCO OPTICAL #1004 (NPI 1417347089) is a healthcare organization registered as an eyewear supplier in San Jose, California and active in the NPI registry since February 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1417347089
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address1709 AUTOMATION PKWYSan Jose, CA 95131-1866
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Fax(408) 678-2154
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (408) 678-2161
Enumeration DateFebruary 3, 2015
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
NPI 1417347089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in CA · D7307
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
1709 AUTOMATION PKWY, San Jose, CA 95131

Other Names 1

Doing Business AsCostco Optical #1004

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Optometrist
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Pharmacy (Community/Retail Pharmacy)
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Pharmacist
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Optometrist
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Optometrist
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Pharmacist
1709 AUTOMATION PKWY
SAN JOSE, CA 95131
Hearing Aid Equipment
1709 AUTOMATION PKWY
SAN JOSE, CA 95131

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 1417347089. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as Costco Optical #1004.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 1709 Automation Pkwy, San Jose, CA 95131. The listed phone number is (408) 678-2161.

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 5, 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.