LONGVIEW EYE & VISION
NPI: 1811023732
· CATHLAMET, WA 98612
· Corneal and Contact Management Optometrist
· NPI assigned 02/26/2007
$330.96
Total Medicaid Paid
Provider Details
| Authorized Official | TACK, TERENCE (OPTOMETRIST-OWNER) |
| Parent Organization | CATHLAMET EYE & VISION |
| NPI Enumeration Date | 02/26/2007 |
Related Entities
Other providers sharing the same authorized official: TACK, TERENCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$330.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
32 |
31 |
$330.96 |