NPI | 1740333046 |
---|---|
Doing Business As | TARGET OPTICAL #C4341 |
Entity Type | Organization |
Authorized Contact | WENDY UHLS Medicare Supervisor 513-765-3534 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2007-01-19 |
Last Update Date | 2009-08-05 |