NPI | 1972993186 |
---|---|
Doing Business As | COSTCO OPTICAL #762 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 661-802-4470 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6905) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2020-06-12 |