NPI | 1457741423 |
---|---|
Doing Business As | COSTCO OPTICAL #676 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 303-463-3603 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2020-06-11 |