NPI | 1013308725 |
---|---|
Doing Business As | COSTCO OPTICAL #489 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 817-210-0003 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX CP20045) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2020-03-04 |