| NPI | 1043601743 |
|---|---|
| Doing Business As | COSTCO OPTICAL #636 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 469-221-8113 |
| 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 |