| NPI | 1841657038 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1236 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 908-905-7223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2020-04-02 |