NPI | 1639568579 |
---|---|
Doing Business As | COSTCO OPTICAL #1275 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 805-614-1428 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D5892) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2020-06-11 |