NPI: 1962664151 · JACKSON, MO 63755 · Optometrist · NPI assigned 06/28/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $625.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $625.70 |