| NPI | 1518351659 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1116 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 865-218-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-06-04 |