| NPI | 1487705877 |
|---|---|
| Doing Business As | TARGET OPTICAL #C4100 |
| Entity Type | Organization |
| Authorized Contact | WENDY UHLS Medicare Administrator 513-765-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2010-01-20 |