NPIMap

Organization Active NPI

Costco Wholesale Corporation

Doing business as Costco Optical #1659

  • Eyewear Supplier
  • Hendersonville, TN
National Provider Identifier
1780464420
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
COSTCO WHOLESALE CORPORATION
Doing business as
Costco Optical #1659
Practice address
1101 Forest Retreat Rd
Hendersonville, TN 37075-2272
Phone
(615) 348-3248
NPI assigned
Oct 2, 2023
Last updated
Oct 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COSTCO WHOLESALE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Sieglock
Title
Avp Optical
Phone
(425) 313-8087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1101 Forest Retreat Rd
Hendersonville, TN 37075-2272

Mailing address

PO Box 35005
Seattle, WA 98124-3405
Phone (425) 313-8100

Other names 1

  • Costco Optical #1659 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Costco Wholesale Corpor1,511 organizations share this tax ID, including this one
Part of
Costco Wholesale Corpor

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

1101 Forest Retreat Rd
Hendersonvlle, TN 37075
Phone (615) 348-3258

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1780464420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35005",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243405",
            "telephone_number": "425-313-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FOREST RETREAT RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752272",
            "telephone_number": "615-348-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "SIEGLOCK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "AVP OPTICAL",
        "authorized_official_telephone_number": "425-313-8087"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Optical #1659",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Optical #1659",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.