| NPI | 1982134433 |
|---|---|
| Doing Business As | TARGET OPTICAL #9666 |
| Entity Type | Organization |
| Authorized Contact | PATRICIA SNOW Payer Relations Coordinator 513-765-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |