| NPI | 1114311388 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1172 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 225-295-4613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-04 |