LAKESIDE VISION, PLLC
NPI: 1457666729
· LIBERTY LAKE, WA 99019
· Optometrist
· NPI assigned 08/11/2010
$130.00
Total Medicaid Paid
Provider Details
| Authorized Official | FISCHER, LAURA (OPTOMETRIST) |
| NPI Enumeration Date | 08/11/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$130.00 |
| 2023 |
34 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
30 |
29 |
$130.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
16 |
$0.00 |