NPI | 1609266147 |
---|---|
Doing Business As | COSTCO OPTICAL #1091 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 209-366-7300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D7583) |
Enumeration Date | 2015-02-04 |
Last Update Date | 2020-06-05 |