Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Eyewear Supplier · NPI 1639090558

Costco Wholesale Corporation is an Eyewear Supplier in Otsego, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

11910 60th St NE
Otsego, MN 55301
Phone: (425) 313-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1639090558
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Erin Sieglock — Avp Optical · (425) 313-8087
Other names Costco Optical #1743
NPI enumeratedJuly 24, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 7, 2026
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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