NPI: 1124085618 · GRAND ISLAND, NE 68801 · Eyewear Supplier · NPI assigned 04/27/2006
| Authorized Official | STINES, MARK (OWNER) |
| NPI Enumeration Date | 04/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 43 | $712.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 43 | 43 | $712.56 |