| NPI | 1356735625 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1173 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 817-806-9833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX CP20045) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-04 |