NPI | 1952791519 |
---|---|
Doing Business As | COSTCO OPTICAL #148 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 408-275-0989 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D5962) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2020-06-05 |