NPI: 1578795902 · BLYTHEWOOD, SC 29016 · Optometrist · NPI assigned 08/18/2009
| Authorized Official | PLAXICO, BRENT (OPTOMETRIST) |
| NPI Enumeration Date | 08/18/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 15 | $75.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 15 | 15 | $75.00 |