NPI: 1679708887 · SAINT CLOUD, MN 56301 · Clinic/Center · NPI assigned 05/18/2009
| Authorized Official | JACKULA, SALLY (OWNER) |
| NPI Enumeration Date | 05/18/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $174.41 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 14 | 13 | $174.41 |