| NPI | 1134513013 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1026 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 850-219-2511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1674) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-06-04 |