NPI: 1538463450 · SAN DIMAS, CA 91773 · Preferred Provider Organization · NPI assigned 01/06/2011
| Authorized Official | PAUL, GRANT (OWNER) |
| NPI Enumeration Date | 01/06/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $86.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 12 | 12 | $86.52 |