NPI | 1366832404 |
---|---|
Doing Business As | COSTCO OPTICAL #483 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 619-358-2303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D7089) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-06-05 |