NPI: 1699986240 · SPENCERPORT, NY 14559 · Eyewear Supplier · NPI assigned 05/25/2007
| Authorized Official | VADAS, MARY (OWNER) |
| NPI Enumeration Date | 05/25/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $732.53 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 17 | 17 | $732.53 |