NPI | 1144610841 |
---|---|
Doing Business As | COSTCO OPTICAL #125 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 707-441-9563 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6617) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2020-06-05 |