NPI | 1306230636 |
---|---|
Doing Business As | COSTCO OPTICAL #318 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 718-965-7612 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-05 |