NPI: 1124204797 · BEDFORD, IN 47421 · Eyewear Supplier · NPI assigned 01/14/2008
| Authorized Official | WATTS, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 01/14/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $189.26 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 17 | 14 | $189.26 |