NPI | 1881084937 |
---|---|
Doing Business As | COSTCO OPTICAL #465 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 602-808-0110 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AZ 881E) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-06-11 |