| NPI | 1053700906 |
|---|---|
| Doing Business As | COSTCO OPTICAL #479 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 310-754-2001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6455) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2020-06-11 |