| NPI | 1053705913 |
|---|---|
| Doing Business As | COSTCO OPTICAL #336 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 727-373-1951 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1171) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-04-02 |