NPI | 1952795213 |
---|---|
Doing Business As | COSTCO OPTICAL #1115 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 571-458-3513 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2020-03-06 |