| NPI | 1255786497 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1211 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 484-273-7056 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-03-06 |