NPI | 1114317799 |
---|---|
Doing Business As | COSTCO OPTICAL #778 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 510-897-1094 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D7066) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2020-06-05 |