| NPI | 1104211838 |
|---|---|
| Doing Business As | COSTCO OPTICAL #621 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 239-433-7240 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1590) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-04-02 |