| NPI | 1053129288 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1715 |
| Entity Type | Organization |
| Authorized Contact | ERIN SIEGLOCK A VP Optical 425-313-8087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-20 |