NPI | 1063803344 |
---|---|
Doing Business As | COSTCO OPTICAL #745 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 406-758-2503 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2020-02-20 |