NPI | 1851746879 |
---|---|
Doing Business As | COSTCO OPTICAL #147 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 650-918-2060 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2016-04-27 |
Last Update Date | 2020-06-05 |