NPI: 1588190961 · FRIDLEY, MN 55432 · Optometrist · NPI assigned 05/04/2017
| Authorized Official | GUTFLEISCH, LANCE (OWNER) |
| NPI Enumeration Date | 05/04/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| 2023 | 13 | $82.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 25 | 25 | $82.05 |