NPI | 1023408085 |
---|---|
Doing Business As | COSTCO OPTICAL #1016 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 505-922-7400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM CD00000053) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2020-06-11 |