TARGET OPTICAL #C4323
NPI 1104990407
Eyewear Supplier in Wake Forest, NC

Active since November 20, 2006
12000 RETAIL DR, WAKE FOREST, NC 27587(919) 761-1004 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Target Optical #c4323 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARGET OPTICAL #C4323 (NPI 1104990407) is a healthcare organization registered as an eyewear supplier in Wake Forest, North Carolina and active in the NPI registry since November 2006. The organization lists Terry Kroth, Specialist, as its authorized official.

NPPES Registry Identity

NPI1104990407
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameLUXOTTICA RETAIL NORTH AMERICA INC
Location Address12000 RETAIL DRWake Forest, NC 27587-7353
Mailing Address4000 Luxottica Pl, Attn Medicare DeptMason, OH 45040-8114 · (919) 761-1004
Organization SubpartNo
Authorized OfficialTerry KrothSpecialist · (513) 765-3060
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 19, 2013
NPI 1104990407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

12000 RETAIL DR, Wake Forest, NC 27587

Other Names 1

Other NameTarget Optical #c4323

Other Identifiers 1

Medicare NSC0180152639NC

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
12000 RETAIL DR
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR, T-1504
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR, T-1504
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR
WAKE FOREST, NC 27587
Pharmacist
12000 RETAIL DR
WAKE FOREST, NC 27587
Pharmacy Technician
12000 RETAIL DR
WAKE FOREST, NC 27587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104990407, enumerated as an "organization" on November 20, 2006.

The provider is located at 12000 RETAIL DR WAKE FOREST, NC 27587 and the phone number is (919) 761-1004.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Medicare. Please consult your insurance carrier or call the provider to verify.