NPI: 1366472342 · MAPLE GROVE, MN 55311 · Optometrist · NPI assigned 07/04/2006
| Authorized Official | THIEL, LINDA (CLINIC ADMINISTRATOR) |
| NPI Enumeration Date | 07/04/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $149.24 |
| 2024 | 13 | $168.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 25 | 25 | $317.85 |