| NPI | 1952791162 |
|---|---|
| Doing Business As | COSTCO OPTICAL #121 |
| Entity Type | Organization |
| Authorized Contact | ART SALAS A VP Optical 760-353-4192 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6293) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-06-05 |