NPI: 1528534104 · ADEL, IA 50003 · Optometrist · NPI assigned 10/22/2018
| Authorized Official | CLARK, ELISHA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/22/2018 |
Other providers sharing the same authorized official: CLARK, ELISHA
| Provider | City | State | Total Paid |
|---|---|---|---|
| CLARK FAMILY PRACTICE LLC | BYESVILLE | OH | $177K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $195.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 13 | 13 | $195.65 |