| NPI | 1508250838 |
|---|---|
| Doing Business As | COSTCO OPTICAL #243 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 718-267-5512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-03-04 |