| NPI | 1770030371 |
|---|---|
| Doing Business As | TARGET OPTICAL #4569 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURMEISTER Provider Relations 513-765-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-07 |