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COSTCO OPTICAL #658
NPI 1477943058
Eyewear Supplier in Tracy, CA

Active since February 03, 2015
3250 W GRANT LINE RD, TRACY, CA 95304(209) 830-5341(209) 830-5360 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Costco Optical #658 NPPES

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

COSTCO OPTICAL #658 (NPI 1477943058) is a healthcare organization registered as an eyewear supplier in Tracy, California and active in the NPI registry since February 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1477943058
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address3250 W GRANT LINE RDTracy, CA 95304-8427
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Phone(209) 830-5341
Fax(209) 830-5360
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (209) 830-5341
Enumeration DateFebruary 3, 2015
Last NPPES UpdateJune 5, 2020
NPPES CertifiedJune 5, 2020
✔ NPI 1477943058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in CA · D6869
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3250 W GRANT LINE RD, Tracy, CA 95304
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Other Names 1

Doing Business AsCostco Optical #658

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 5

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

COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
3250 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 850-5391
DR. CLIFFORD WAYNE UPSHAW
Optometrist
3250 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 836-3937
DR. ANNE LEE PHARMD
Pharmacist
3250 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 830-5342
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
3250 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 830-5342
DR. EDWARD SAGISI AGNGARAYNGAY
Pharmacist
3250 W GRANT LINE RD
TRACY, CA 95304
San Joaquin County (209) 830-5342

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 1477943058. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as Costco Optical #658.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 3250 W Grant Line Rd, Tracy, CA 95304. The listed phone number is (209) 830-5341.

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.