NPI | 1003207390 |
---|---|
Doing Business As | COSTCO OPTICAL #1033 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 208-238-4052 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-09 |
Last Update Date | 2020-02-20 |