| NPI | 1710426200 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1274 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 916-465-6055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2020-06-05 |