NPI | 1255078184 |
---|---|
Doing Business As | COSTCO OPTICAL #1621 |
Entity Type | Organization |
Authorized Contact | ART SALAS VP Optical 425-416-5360 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2022-05-12 |
Last Update Date | 2022-05-12 |