NPI | 1740671460 |
---|---|
Doing Business As | COSTCO OPTICAL #668 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 817-417-1603 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX CP20045) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2020-03-04 |