NPI | 1376937425 |
---|---|
Doing Business As | COSTCO OPTICAL #361 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 336-970-2301 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 1615) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-06-05 |