NPI: 1164416236 · BRODHEAD, WI 53520 · Optometrist · NPI assigned 09/06/2005
| Authorized Official | KELLEY, DOUGLAS (OWNER/OD) |
| NPI Enumeration Date | 09/06/2005 |
Other providers sharing the same authorized official: KELLEY, DOUGLAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| DOUGLAS J. KELLEY, INC. | GALLOWAY | NJ | $2K |
| BELOIT FAMILY EYE CARE S.C. | BELOIT | WI | $69.79 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $69.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 13 | 12 | $69.29 |