NPI: 1184057374 · MANDAN, ND 58554 · Optometrist · NPI assigned 08/12/2013
| Authorized Official | MATTSON, MELISSA (MANAGER) |
| NPI Enumeration Date | 08/12/2013 |
Other providers sharing the same authorized official: MATTSON, MELISSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| LEIDENIX PC | BISMARCK | ND | $239.52 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 160 | $2K |
| 2019 | 140 | $2K |
| 2024 | 62 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 362 | 294 | $4K |