NPI | 1013306950 |
---|---|
Doing Business As | COSTCO OPTICAL #48 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 818-989-7091 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D5731) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2020-06-11 |