| NPI | 1104216258 |
|---|---|
| Doing Business As | COSTCO OPTICAL #691 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 623-907-5661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 942E) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-06-11 |