NPI | 1982094520 |
---|---|
Doing Business As | COSTCO OPTICAL #9 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP O PT Ical 503-641-6023 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2015-02-04 |
Last Update Date | 2020-02-20 |