| NPI | 1003467242 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1350 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 405-832-5102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-03-04 |