| NPI | 1902296940 |
|---|---|
| Doing Business As | COSTCO OPTICAL #672 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 435-256-0003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2020-02-20 |