SOUTHERN TIER OPTOMETRIC CENTER INC
NPI: 1942280342
· WELLSVILLE, NY 14895
· Optometrist
· NPI assigned 01/20/2006
$480.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROSENSWIE, SAM (CORPORATE BUSINESS MANAGER) |
| NPI Enumeration Date | 01/20/2006 |
Related Entities
Other providers sharing the same authorized official: ROSENSWIE, SAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$480.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$480.00 |