NPI | 1609364835 |
---|---|
Doing Business As | COSTCO OPTICAL #1319 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 843-375-7034 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2018-04-24 |
Last Update Date | 2020-06-05 |