NPI | 1962896829 |
---|---|
Doing Business As | COSTCO OPTICAL #345 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 561-981-5002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: FL OE698) |
Enumeration Date | 2015-03-27 |
Last Update Date | 2020-04-02 |