Costco Wholesale Corporation

NPI #1073366001 in Venice, Florida

Provider Information

NPI Number: 1073366001
Entity Type: Organization
Organization Name: Costco Wholesale Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: COSTCO WHOLESALE CORPORATION
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 11700 MEZZO DR
City: Venice
State: Florida
ZIP Code: 34293-1254
Phone: (425) 313-8100

Authorized Official

Name: ERIN SIEGLOCK
Title: AVP - OPTICAL
Phone: (425) 313-8087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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