NPI: 1043986383 · HERMOSA BEACH, CA 90254 · Optometrist · NPI assigned 08/17/2021
| Authorized Official | PHAM, VY (PRACTICE OWNER/ OPTOMETRIST) |
| NPI Enumeration Date | 08/17/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $28.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 12 | 12 | $28.84 |