| NPI | 1548651524 | 
|---|---|
| Doing Business As | COSTCO OPTICAL #1106 | 
| Entity Type | Organization | 
| Authorized Contact | ART SALAS A VP Optical 734-213-8023  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) | 
| Enumeration Date | 2015-02-11 | 
| Last Update Date | 2020-02-26 |