| NPI | 1861948473 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1262 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 813-616-7014 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-04-07 |