NPI: 1518959121 · MANKATO, MN 56001 · Eyewear Supplier · NPI assigned 08/19/2005
| Authorized Official | NELSON, MANDI (OPTICAL MANAGER) |
| NPI Enumeration Date | 08/19/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 32 | $920.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 32 | 25 | $920.00 |