NPI | 1043605983 |
---|---|
Doing Business As | COSTCO OPTICAL #131 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 318-999-9918 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D6361) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2020-06-05 |