NPI: 1881363760 · MERIDIAN, ID 83642 · Optometrist · NPI assigned 09/13/2021
| Authorized Official | GRAY, RUSSELL (OPTOMETRIST) |
| NPI Enumeration Date | 09/13/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 24 | $3K |
| 2023 | 71 | $9K |
| 2024 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 108 | 108 | $14K |