SELAH VISION SOURCE, PLLC
NPI: 1487787511
· SELAH, WA 98942
· Optometrist
· NPI assigned 03/14/2007
Provider Details
| Authorized Official | GRAF, NANCY (PROJECTS MANAGER) |
| NPI Enumeration Date | 03/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
344 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
128 |
128 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
30 |
30 |
$3K |
| 92015 |
Determination of refractive state |
186 |
186 |
$2K |