NPI | 1366134520 |
---|---|
Doing Business As | COSTCO OPTICAL #1658 |
Entity Type | Organization |
Authorized Contact | ART SALAS VP O PT Ical 425-416-5360 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-10-27 |