NPI: 1659326205 · FARGO, ND 58103 · Eyewear Supplier · NPI assigned 05/23/2006
| Authorized Official | KOEPPE, MICHAEL (OPTOMETRIST) |
| NPI Enumeration Date | 05/23/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $366.50 |
| 2022 | 38 | $530.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 64 | 64 | $897.29 |