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Costco Wholesale Corporation

Eyewear Supplier (Equipment, not the service) in Mcdonough, GA. Organization (NPI-2).

NPI number1912787656
StatusActive
Last updated in NPPESOct 28, 2023

Details

NPI
1912787656
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
Yes
Enumeration date
Oct 2, 2023
Certification date
Oct 28, 2023
Last updated
Oct 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Costco Optical #1675 (Doing Business As)

Practice location

2245 Jodeco Rd
Mcdonough, GA 30253-5210

Phone 678-272-3288

Mailing address

Po Box 35005
Seattle, WA 98124-3405

Phone 425-313-8100

Authorized official

Erin Sieglock
Avp-Optical
4253138087

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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