NPI: 1003963190 · HENRIETTA, NY 14467 · Optometrist · NPI assigned 01/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $745.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $745.91 |