NPI | 1063802577 |
---|---|
Doing Business As | COSTCO OPTICAL #1031 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 209-825-8211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D7345) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2023-08-22 |