NPI | 1013307156 |
---|---|
Doing Business As | COSTCO OPTICAL #460 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 619-656-0826 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D6841) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-06-05 |