NPI | 1417347626 |
---|---|
Doing Business As | COSTCO OPTICAL #1010 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 760-524-9913 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D7311) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2020-06-12 |