NPI: 1629297759 · LATHAM, NY 12110 · Optometrist · NPI assigned 04/25/2007
| Authorized Official | PERREAULT, ELISA (PRESIDENT) |
| NPI Enumeration Date | 04/25/2007 |
Other providers sharing the same authorized official: PERREAULT, ELISA
| Provider | City | State | Total Paid |
|---|---|---|---|
| PROFESSIONAL OPTOMETRY DOWNTOWN, PC | ALBANY | NY | $100K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $360.00 |