NPI: 1568107670 · FAIRBANKS, AK 99701 · Optometrist · NPI assigned 05/03/2022
| Authorized Official | FULLER, STANLEY (OWNER) |
| NPI Enumeration Date | 05/03/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $229.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92134 | 12 | 12 | $229.70 |