NPI | 1982093555 |
---|---|
Doing Business As | COSTCO OPTICAL #428 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 626-458-2236 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6816) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2020-06-11 |