NPI: 1104039304 · CLIFTON PARK, NY 12065 · Eyewear Supplier · NPI assigned 05/07/2007
| Authorized Official | ROOT, PATTI (OFFICE MANAGER) |
| NPI Enumeration Date | 05/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $270.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 13 | 13 | $270.00 |