NPI: 1881851236 · BAYTOWN, TX 77521 · Eyewear Supplier · NPI assigned 05/21/2008
| Authorized Official | SHAH, MINAL (MANAGER) |
| NPI Enumeration Date | 05/21/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $367.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 12 | 12 | $367.84 |