| NPI | 1780078659 |
|---|---|
| Doing Business As | COSTCO OPTICAL #354 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 239-596-6404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE825) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2020-04-02 |