NPI: 1922178474 · TEAYS, WV 25569 · Optician · NPI assigned 11/09/2006
| Authorized Official | ROSE, HOWARD (PRESIDENT) |
| NPI Enumeration Date | 11/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $721.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 12 | 12 | $721.68 |