NPI | 1255725578 |
---|---|
Doing Business As | COSTCO OPTICAL #240 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 631-462-5161 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-04 |