KYLE M. GILLESPIE, O.D., LTD.
NPI: 1255770020
· GRAND COULEE, WA 99133
· Optometrist
· NPI assigned 06/14/2013
$141.84
Total Medicaid Paid
Provider Details
| Authorized Official | GILLESPIE, KYLE (OWNER) |
| Parent Organization | KYLE M. GILLESPIE, O.D., LTD |
| NPI Enumeration Date | 06/14/2013 |
Related Entities
Other providers sharing the same authorized official: GILLESPIE, KYLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$141.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
12 |
12 |
$141.84 |