NPI | 1164818167 |
---|---|
Doing Business As | COSTCO OPTICAL #249 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 919-220-2770 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 1059) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2020-06-05 |