NPI: 1902963457 · COVENTRY, RI 02816 · Optometrist · NPI assigned 01/03/2007
| Authorized Official | BLASBALG, MARK (OWNER PRESIDENT) |
| NPI Enumeration Date | 01/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $216.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 12 | 12 | $216.00 |