NPI: 1699857912 · CREVE COEUR, MO 63141 · Optometrist · NPI assigned 10/19/2006
| Authorized Official | MIANA, SHELLEY (COO) |
| NPI Enumeration Date | 10/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $130.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 14 | 13 | $130.68 |