NPI | 1477943975 |
---|---|
Doing Business As | COSTCO OPTICAL #682 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 541-918-7041 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-04 |
Last Update Date | 2020-02-20 |