NPI: 1134503352 · GRAND JUNCTION, CO 81501 · Eyewear Supplier · NPI assigned 07/17/2015
| Authorized Official | BAGGA, PHILLIP (PRESIDENT) |
| NPI Enumeration Date | 07/17/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $851.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 28 | 25 | $851.53 |