| NPI | 1114078516 |
|---|---|
| Doing Business As | TARGET OPTICAL #C4126 |
| Entity Type | Organization |
| Authorized Contact | WENDY UHLS Medicare Administrator 513-765-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-08-02 |