NPI | 1275927477 |
---|---|
Doing Business As | COSTCO OPTICAL #304 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 203-775-4337 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001448) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-05 |