| NPI | 1780135756 |
|---|---|
| Doing Business As | TARGET OPTICAL #4623 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURMEISTER Prov Relations 513-765-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |