Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

COSTCO WHOLESALE CORPORATION
NPI 1639090558
Eyewear Supplier in Otsego, MN

Active since July 24, 2026
11910 60TH ST NE, OTSEGO, MN 55301(425) 313-8100 Get Directions Write a Review

NPPES record added: July 24, 2026. 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 1639090558), doing business as Costco Optical #1743, is a healthcare organization registered as an eyewear supplier in Otsego, Minnesota and active in the NPI registry since July 2026. The organization lists Erin Sieglock, Avp Optical, as its authorized official.

NPPES Registry Identity

NPI1639090558
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address11910 60TH ST NEOtsego, MN 55301
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100
Organization SubpartYes
Authorized OfficialErin SieglockAvp Optical · (425) 313-8087
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 7, 2026
NPI 1639090558 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.

11910 60TH ST NE, Otsego, MN 55301

Other Names 1

Doing Business AsCostco Optical #1743

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.

Pharmacy (Community/Retail Pharmacy)
11910 60TH ST NE
OTSEGO, MN 55301
Hearing Aid Equipment
11910 60TH ST NE
OTSEGO, MN 55301

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 1639090558. It was assigned to this organization in the NPPES registry on July 24, 2026. The provider is doing business as Costco Optical #1743.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 11910 60th St NE, Otsego, MN 55301. 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.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.