NPI: 1295887958 · EDEN PRAIRIE, MN 55344 · Optometrist · NPI assigned 01/16/2007
| Authorized Official | WHITED, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 01/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 25 | $320.80 |
| 2023 | 28 | $339.43 |
| 2024 | 26 | $343.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 79 | 77 | $1K |