NPI | 1336539543 |
---|---|
Doing Business As | COSTCO OPTICAL #679 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 626-839-3051 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6757) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2020-06-12 |