NPI | 1174917496 |
---|---|
Doing Business As | COSTCO OPTICAL #230 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 631-244-9275 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-04 |