NPI | 1154776433 |
---|---|
Doing Business As | COSTCO OPTICAL #1232 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 803-875-7130 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2020-06-05 |