| NPI | 1942691928 |
|---|---|
| Doing Business As | COSTCO OPTICAL #375 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP O PT Ical 816-216-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2020-02-27 |