NPI | 1609339910 |
---|---|
Doing Business As | COSTCO OPTICAL #1331 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 812-909-6572 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2020-02-27 |