NPI | 1477642312 |
---|---|
Doing Business As | TARGET OPTICAL #C4343 |
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 | 2006-10-11 |
Last Update Date | 2009-08-26 |