| NPI | 1609364835 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1319 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 843-375-7034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2020-06-05 |