COSTCO WHOLESALE CORPORATION
NPI 1063281186
Eyewear Supplier in Daytona Beach, FL
About Costco Wholesale Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COSTCO WHOLESALE CORPORATION (NPI 1063281186), doing business as Costco Optical #1681, is a healthcare organization registered as an eyewear supplier in Daytona Beach, Florida and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Erin Sieglock, Avp Optical, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2297876
Costco Wholesale Corporation · Daytona Beach, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Costco Wholesale Corporation's NPI number?
The NPI number for Costco Wholesale Corporation is 1063281186. It was assigned to this organization in the NPPES registry on December 29, 2023. The provider is doing business as Costco Optical #1681.
Where is Costco Wholesale Corporation located?
Costco Wholesale Corporation is located at 150 Pit Rd, Daytona Beach, FL 32114. The listed phone number is (425) 313-8100.
What is Costco Wholesale Corporation's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Does Costco Wholesale Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2297876) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Costco Wholesale Corporation was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Costco Wholesale Corporation · NPI 1063281186
Eyewear Supplier organization in Daytona Beach, Florida. Organization record, active in the CMS NPPES registry since December 29, 2023.
## Identity
- **NPI:** 1063281186 (Entity type: Organization)
- **Enumerated:** December 29, 2023
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Also known as:** Costco Optical #1681 (Doing Business As)
- **Organization subpart:** Yes (part of Costco Wholesale Corporation)
- **Authorized official:** Erin Sieglock, AVP OPTICAL
## Practice location
- **Address:** 150 PIT RD, Daytona Beach, FL 32114-0025
- **Phone:** (425) 313-8100
## Record status
- **NPPES last updated:** December 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063281186) · Data from the CMS NPPES public registry.