NPI | 1629462767 |
---|---|
Doing Business As | COSTCO OPTICAL #1009 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 334-270-7452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-06-04 |