NPI: 1548449788 · BELLPORT, NY 11713 · Optometrist · NPI assigned 10/24/2007
| Authorized Official | DENEVE, EDWARD (PRESIDENT) |
| NPI Enumeration Date | 10/24/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $57.50 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 24 | 24 | $57.50 |