| NPI | 1205153137 |
|---|---|
| Doing Business As | SEARS OPTICAL #C0635 |
| Entity Type | Organization |
| Authorized Contact | WENDY UHLS Medicaer Administrator 513-765-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |