NPI | 1013491869 |
---|---|
Doing Business As | COSTCO OPTICAL #1320 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 702-803-7044 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2018-09-18 |
Last Update Date | 2020-06-15 |