NPI | 1255721940 |
---|---|
Doing Business As | COSTCO OPTICAL #118 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 510-562-8241 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6155) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2020-06-05 |