NPI | 1730570714 |
---|---|
Doing Business As | COSTCO OPTICAL #1101 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 262-956-6713 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-02-11 |
Last Update Date | 2020-02-27 |