NPI: 1245329853 · YORK, SC 29745 · Optometrist · NPI assigned 10/12/2006
| Authorized Official | BRYANT, LISA (INSURANCE) |
| NPI Enumeration Date | 10/12/2006 |
Other providers sharing the same authorized official: BRYANT, LISA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WILDWOOD FAMILY MEDICINE, LLC | PORTLAND | OR | $44K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 28 | $140.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 28 | 28 | $140.00 |