| NPI | 1477943058 |
|---|---|
| Doing Business As | COSTCO OPTICAL #658 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 209-830-5341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6869) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2020-06-05 |