NPI | 1386034437 |
---|---|
Doing Business As | COSTCO OPTICAL #1058 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 480-308-7044 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 1133E) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-06-11 |