| NPI | 1124413067 |
|---|---|
| Doing Business As | COSTCO OPTICAL #187 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 770-622-2313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-06-04 |