NPI | 1073038683 |
---|---|
Doing Business As | COSTCO OPTICAL #1272 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 612-540-5458 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2020-02-27 |