NPI | 1235523556 |
---|---|
Doing Business As | COSTCO OPTICAL #1163 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 806-784-1463 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX CP20045) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-04 |