NPI: 1780976647 · BELOIT, WI 53511 · Optometrist · NPI assigned 05/11/2011
| Authorized Official | KELLEY, DOUGLAS (MANAGER) |
| NPI Enumeration Date | 05/11/2011 |
Other providers sharing the same authorized official: KELLEY, DOUGLAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| DOUGLAS J. KELLEY, INC. | GALLOWAY | NJ | $2K |
| BRODHEAD VISION CLINIC, INC | BRODHEAD | WI | $69.29 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 19 | $69.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 19 | 15 | $69.79 |