NPI | 1487049326 |
---|---|
Doing Business As | COSTCO OPTICAL #743 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 678-823-4950 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2020-06-04 |