MEDICARE: COSTCO WHOLESALE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1851258875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSTCO WHOLESALE CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 35005
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-3405
Country	:	US
Telephone Number	:	425-313-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 US 183
Second Line	:
City	:	LIBERTY HILL
State	:	TX
Zip	:	78642
Country	:	US
Telephone Number	:	425-313-8100
Fax Number	:

Authorized Official
Title or Position	:	AVP OPTICAL
Name	:	ERIN SIEGLOCK
Credential	:
Telephone Number	:	425-313-8087

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

Similar Medicare Providers

1285583526 — MORGAN STARR LCSW
Practice Location Address:

240 PROSPECTOR LN
LIBERTY HILL, TX
78642-4372

Practice Phone: 512-922-3513
Practice Fax:

1770442980 — DANIELLE FORTUNE-JACK LPC-A
Practice Location Address:

221 RANGEL DR
LIBERTY HILL, TX
78642-2373

Practice Phone: 512-639-1300
Practice Fax:

1093673022 — COSTCO WHOLESALE CORPORATION
Practice Location Address:

595 US 183
LIBERTY HILL, TX
78642

Practice Phone: 425-313-8100
Practice Fax:

1396732731 — LIBERTY HILL EYE ASSOCIATES, LLC
Practice Location Address:

14370 W. HWY. 29 , SUITE 8
LIBERTY HILL, TX
78642

Practice Phone: 512-515-5100
Practice Fax: 512-515-0500

1891782223 — DR. JAMES R. HANNIGAN O.D.
Practice Location Address:

14370 W. HWY. 29 , SUITE 8
LIBERTY HILL, TX
78642

Practice Phone: 512-515-5100
Practice Fax: 512-515-0500

1801863311 — MERIDELL ACHIEVEMENT CENTER
Practice Location Address:

12550 W HWY 29
LIBERTY HILL, TX
78642

Practice Phone: 512-528-2100
Practice Fax:

Directions to “COSTCO WHOLESALE CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.