NPI | 1639563786 |
---|---|
Doing Business As | COSTCO OPTICAL #645 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 919-755-2801 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: NC 1482) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-06-05 |