NPI | 1154715019 |
---|---|
Doing Business As | COSTCO OPTICAL #185 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 407-681-2105 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE812) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2020-06-04 |