NPI | 1518358357 |
---|---|
Doing Business As | COSTCO OPTICAL #783 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 952-943-4803 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-16 |
Last Update Date | 2020-02-27 |