NPI: 1104014216 · BOGALUSA, LA 70427 · Ophthalmology Physician · NPI assigned 10/15/2007
| Authorized Official | WILLIS, WILIAM (ADMINISTRATOR) |
| NPI Enumeration Date | 10/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $348.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 12 | 12 | $348.57 |