| NPI | 1801280565 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1196 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 860-893-7014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2020-03-05 |