| NPI | 1952138323 |
|---|---|
| Doing Business As | COSTCO OPTICAL #1712 |
| Entity Type | Organization |
| Authorized Contact | ERIN SIEGLOCK A VP Optical 425-313-8087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |