| NPI | 1750931044 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1363 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 612-439-8060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-02-27 |