| NPI | 1942860457 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1364 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP/O PT Ical 718-760-2180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-06-05 |