NPI: 1114410305 · LEWISTON, ID 83501 · Optometrist · NPI assigned 06/12/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $2K |