Costco Wholesale Corporation

NPI #1427838895 in Clermont, Florida

Provider Information

NPI Number: 1427838895
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: Oct 3, 2023
Last Updated: Oct 21, 2023

Practice Location

Address: 4600 COLLINA TERRACE
City: Clermont
State: Florida
ZIP Code: 34711
Phone: (689) 407-3663

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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