NPI | 1992195564 |
---|---|
Doing Business As | COSTCO OPTICAL #453 |
Entity Type | Organization |
Authorized Contact | ART SALAS A VP Optical 707-864-3816 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA D6837) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2020-06-05 |