| NPI | 1174912646 |
|---|---|
| Doing Business As | COSTCO OPTICAL #478 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 909-478-3445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D4126) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-06-12 |