NPI: 1790888766 · FAIRMONT, WV 26554 · Optometrist · NPI assigned 09/06/2006
| Authorized Official | VANDERGRIFT, NANCY (PRESIDENT) |
| NPI Enumeration Date | 09/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21 | $636.92 |
| 2019 | 17 | $736.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 38 | 25 | $1K |