| NPI | 1306236369 |
|---|---|
| Doing Business As | COSTCO OPTICAL #116 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 505-342-7152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NM CD00000021) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2020-06-11 |