NPI: 1609436542 · ITHACA, NY 14850 · Optometrist · NPI assigned 06/13/2019
| Authorized Official | BLOOM, TANYA (OWNER) |
| NPI Enumeration Date | 06/13/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $601.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92060 | 12 | 12 | $601.44 |