NPI: 1710456975 · RIVERDALE, UT 84405 · Optometrist · NPI assigned 11/16/2018
| Authorized Official | KOFOED, LAVAR (OWNER) |
| NPI Enumeration Date | 11/16/2018 |
Other providers sharing the same authorized official: KOFOED, LAVAR
| Provider | City | State | Total Paid |
|---|---|---|---|
| LWK, P.C. | BOISE | ID | $485K |
| EYE PROS OF LOGAN LLC | LOGAN | UT | $665.34 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 14 | 14 | $0.00 |