| NPI | 1659761708 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1028 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 480-333-6552 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: AZ 876E) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2020-06-11 |