NPI | 1174914824 |
---|---|
Doing Business As | COSTCO OPTICAL #384 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 513-774-0024 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-16 |
Last Update Date | 2020-02-27 |