NPI | 1336526953 |
---|---|
Doing Business As | COSTCO OPTICAL #1199 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 609-779-7013 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2020-04-02 |