NPI | 1235443607 |
---|---|
Doing Business As | TARGET OPTICAL #C4369 |
Entity Type | Organization |
Authorized Contact | WENDY UHLS Medicare Administrator 513-765-3534 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2010-07-28 |
Last Update Date | 2010-07-28 |