| NPI | 1932593043 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1174 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 732-509-3918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-04-02 |