NPI | 1851782080 |
---|---|
Doing Business As | COSTCO OPTICAL #766 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 503-825-4001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-10 |
Last Update Date | 2020-02-20 |