| NPI | 1699166678 |
|---|---|
| Doing Business As | COSTCO OPTICAL #628 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 262-204-1061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-02-27 |