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Contact Information

COSTCO WHOLESALE CORPORATION
4600 COLLINA TERRACE
CLERMONT, FL34711
 Phone: 689-407-3663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COSTCO WHOLESALE CORPORATION

NPI # 1427838895
LBN Legal business name COSTCO WHOLESALE CORPORATION
Authorized official ERIN SIEGLOCK - (AVP - OPTICAL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/03/2023
Last updated 10/21/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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