NPI: 1821040973 · TWIN FALLS, ID 83301 · Optician · NPI assigned 05/17/2006
| Authorized Official | BETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES) |
| NPI Enumeration Date | 05/17/2006 |
Other providers sharing the same authorized official: BETTIGA, MICHAEL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,846 | $81K |
| 2019 | 376 | $16K |