NPI: 1669401527 · BISMARCK, ND 58504 · Optometrist · NPI assigned 07/02/2006
| Authorized Official | MATTSON, MELISSA (MANAGER) |
| NPI Enumeration Date | 07/02/2006 |
Other providers sharing the same authorized official: MATTSON, MELISSA
| Provider | City | State | Total Paid |
|---|---|---|---|
| LEIDENIX PC | MANDAN | ND | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $239.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 15 | 12 | $239.52 |