Costco Wholesale Corporation

NPI #1780464420 in Hendersonville, Tennessee

Provider Information

NPI Number
1780464420
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 2, 2023
Last Updated
Oct 28, 2023

Practice Location

Address
1101 FOREST RETREAT RD
ZIP Code
37075-2272
Phone
(615) 348-3248

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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