All Medicaid billing entities listing NICHOLS, STACIE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $8K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DAVENPORT VISION CLINIC, INC. | DAVENPORT, WA | Optometrist | $8K |