NPI | 1538553268 |
---|---|
Doing Business As | COSTCO OPTICAL #1195 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 585-471-6906 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2020-03-05 |