NPI | 1104217231 |
---|---|
Doing Business As | COSTCO OPTICAL #744 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 616-406-2651 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2020-02-26 |