| NPI | 1942691225 |
|---|---|
| Doing Business As | COSTCO OPTICAL #622 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 801-996-9019 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2020-02-20 |