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COSTCO WHOLESALE CORPORATION
NPI 1073366001
Eyewear Supplier in Venice, FL

Active since April 09, 2024CLIA 10D2300438 · Waiver
11700 MEZZO DR, VENICE, FL 34293(425) 313-8100 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Costco Wholesale Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO WHOLESALE CORPORATION (NPI 1073366001), doing business as Costco Optical #1682, is a healthcare organization registered as an eyewear supplier in Venice, Florida and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Erin Sieglock, Avp - Optical, as its authorized official.

NPPES Registry Identity

NPI1073366001
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address11700 MEZZO DRVenice, FL 34293-1254
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100
Phone(425) 313-8100
Organization SubpartYes
Authorized OfficialErin SieglockAvp - Optical · (425) 313-8087
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1073366001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

11700 MEZZO DR, Venice, FL 34293
Open in Google Maps ↗

Other Names 1

Doing Business AsCostco Optical #1682

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 10D2300438

Costco Wholesale Corporation Dba Costco Pharmacy #1682 · Venice, FL
Active · expires Mar 10, 2028
CLIA Number10D2300438
Laboratory TypePharmacy
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorJeffrey Thomas Garris
Laboratory Phone(425) 416-4870
Laboratory LocationCostco Wholesale Corporation Dba Costco Pharmacy #168211700 Mezzo Dr, Venice, FL 34293
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
11700 MEZZO DR
VENICE, FL 34293
Sarasota County (425) 313-8100
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
11700 MEZZO DR
VENICE, FL 34293
Sarasota County (941) 548-4752

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 1073366001. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Costco Optical #1682.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 11700 Mezzo Dr, Venice, FL 34293. 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 10D2300438) is associated with this NPI, valid through March 10, 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 April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.