NPI | 1053701755 |
---|---|
Doing Business As | COSTCO OPTICAL #129 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 425-313-6690 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6100) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2015-02-02 |