| NPI | 1396135893 |
|---|---|
| Doing Business As | COSTCO OPTICAL #111 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 503-639-0929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2020-02-20 |