NPI | 1023408606 |
---|---|
Doing Business As | COSTCO OPTICAL #782 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 209-656-5301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6995) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2020-06-05 |