NPI: 1477659456 · PLYMOUTH, WI 53073 · Optometrist · NPI assigned 09/16/2006
| Authorized Official | ANHALT, TAMMY (BILLING SPECIALIST) |
| NPI Enumeration Date | 09/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $109.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 15 | 12 | $109.67 |