| NPI | 1265072292 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1366 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 601-499-8581 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-06-05 |