| NPI | 1215442512 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1294 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 904-479-7521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2020-06-04 |