NPI | 1699169730 |
---|---|
Doing Business As | COSTCO OPTICAL #360 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 843-460-2001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-06-05 |