NPI: 1558636613 · GRAND PRAIRIE, TX 75052 · Optometrist · NPI assigned 03/21/2012
| Authorized Official | TA, JULIA (OPTOMETRIST/PRESIDENT) |
| NPI Enumeration Date | 03/21/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 30 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 30 | 29 | $1K |