COSTCO OPTICAL #775
NPI 1629468764
Eyewear Supplier in Poway, CA

Active since January 28, 2015
12155 TECH CENTER DR, POWAY, CA 92064(858) 848-2451(858) 848-2472 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costco Optical #775 NPPES

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

COSTCO OPTICAL #775 (NPI 1629468764) is a healthcare organization registered as an eyewear supplier in Poway, California and active in the NPI registry since January 2015. The organization lists Art Salas, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1629468764
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address12155 TECH CENTER DRPoway, CA 92064-7156
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100 · Fax (425) 313-6922
Fax(858) 848-2472
Organization SubpartYes
Authorized OfficialArt SalasAvp Optical · (858) 848-2451
Enumeration DateJanuary 28, 2015
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
NPI 1629468764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in CA · D6993
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

12155 TECH CENTER DR, Poway, CA 92064

Other Names 1

Doing Business AsCostco Optical #775

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Hearing Aid Equipment
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacist
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacist
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacist
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacist
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12155 TECH CENTER DR
POWAY, CA 92064
Optometrist
12155 TECH CENTER DR
POWAY, CA 92064
Pharmacy (Community/Retail Pharmacy)
12155 TECH CENTER DR
POWAY, CA 92064

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 1629468764. It was assigned to this organization in the NPPES registry on January 28, 2015. The provider is doing business as Costco Optical #775.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 12155 Tech Center Dr, Poway, CA 92064. The listed phone number is (858) 848-2451.

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 with the weekly NPPES data releases published by CMS.