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: July 19, 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

Reviews for COSTCO OPTICAL #1004

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417347089, enumerated as an "organization" on February 03, 2015.

The provider is located at 1709 AUTOMATION PKWY SAN JOSE, CA 95131 and the phone number is (408) 678-2161.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.