NPI | 1891184743 |
---|---|
Doing Business As | COSTCO OPTICAL #677 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 818-557-3781 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CA D6760) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2020-06-11 |