| NPI | 1437504628 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1238 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 502-912-9869 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-02-27 |