All Medicaid billing entities listing FRAIRE, DOLORES (OPTOMETRIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $994.97 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | OPTICAL SHOP OF WA INC | SHELTON, WA | Optometrist | $994.97 |