NPI: 1720225287 · OWASSO, OK 74055 · Optometrist · NPI assigned 01/20/2009
| Authorized Official | REYNOLDS, JENNIFER (MEMBER/MANAGER) |
| NPI Enumeration Date | 01/20/2009 |
Other providers sharing the same authorized official: REYNOLDS, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| MARK BESEN PHD PSYCHOLOGICAL SERVICES PLLC | MOREHEAD CITY | NC | $115K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $222.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 12 | 12 | $222.12 |