NPI: 1770054694 · MANDAN, ND 58554 · Optometrist · NPI assigned 12/17/2018
| Authorized Official | KOSTELECKY, EVE (PRESIDENT) |
| NPI Enumeration Date | 12/17/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $264.42 |
| 2021 | 13 | $223.74 |
| 2022 | 12 | $235.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 42 | 38 | $724.08 |