NPI | 1265822951 |
---|---|
Doing Business As | COSTCO OPTICAL #38 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 203-478-2991 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6384) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2020-06-05 |