| NPI | 1740313824 |
|---|---|
| Doing Business As | COSTCO OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TIM J NELSON President 612-743-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 2827) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-12-11 |