Costco Wholesale Corporation
Organization Active NPI Eyewear Supplier · Lawrence, KS
NPI 1104748136 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1104748136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 6200 Mercato Dr
Lawrence, KS 66049-2324 - Phone
- (425) 313-8100
- NPI assigned
- Jul 29, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- COSTCO WHOLESALE CORPORATION
Authorized official
- Name
- Erin Sieglock
- Title
- Avp Optical
- Phone
- (425) 313-8087
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Costco Pharmacy 302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
6200 Mercato Dr
Lawrence, KS 66049-2324
Mailing address
PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100
Other names
- Costco Optical #1836
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.