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 1912787656

Costco Wholesale Corporation is an Eyewear Supplier in McDonough, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2245 Jodeco Rd
McDonough, GA 30253-5210
Phone: (678) 272-3288
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 number1912787656
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Erin Sieglock — Avp-Optical · (425) 313-8087
Other names Costco Optical #1675; Costco Optical #1675
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 28, 2023
Certification dateOctober 28, 2023
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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