Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Optical #1675
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
ERIN SIEGLOCK (AVP-OPTICAL)
(425) 313-8087
Entity
Organization
Contact information
Practice address
2245 JODECO RD, MCDONOUGH, GA 30253-5210
(678) 272-3288
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/28/2023
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