MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION
NPI: 1407060072
· SOUTH OGDEN, UT 84403
· Optometrist
· NPI assigned 05/10/2007
$62.09
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, ANSLEY (OFFICE MANAGER) |
| NPI Enumeration Date | 05/10/2007 |
Related Entities
Other providers sharing the same authorized official: ALLEN, ANSLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
37 |
$62.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$62.09 |
| 92015 |
Determination of refractive state |
25 |
25 |
$0.00 |