NPI | 1205220472 |
---|---|
Doing Business As | COSTCO OPTICAL #1147 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 504-484-5233 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-04 |