Organization · Type 2 NPI

Costco Wholesale Corporation

Eyewear Supplier · Mcdonough, GA

NPI number 1912787656 Active

Practice location

2245 Jodeco Rd
Mcdonough, GA 30253-5210

Call (678) 272-3288 Map

Mailing address

PO Box 35005
Seattle, WA 98124-3405

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

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

4 other providers at this address

Other eyewear supplier providers in Mcdonough

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NPI record

NPI: 1912787656
Entity type: Organization (Type 2)
Issued: Oct 2, 2023
Last updated: Oct 28, 2023
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Optical #1675 · doing business as
Costco Optical #1675 · doing business as

Authorized official

Erin Sieglock
AVP-Optical
(425) 313-8087

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912787656

Costco Wholesale Corporation's National Provider Identifier is 1912787656, issued on Oct 2, 2023. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Mcdonough, GA. The record was last updated on Oct 28, 2023.