NPI: 1053683037 · BOZEMAN, MT 59715 · Eyewear Supplier · NPI assigned 02/06/2012
| Authorized Official | ROTH, CARL (OD/PRESIDENT) |
| NPI Enumeration Date | 02/06/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $283.68 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 12 | 12 | $283.68 |