NPI: 1912467226 · GRESHAM, OR 97030 · Optometrist · NPI assigned 03/22/2019
| Authorized Official | SOWASH, THOMPSON (OWNER) |
| NPI Enumeration Date | 03/22/2019 |
Other providers sharing the same authorized official: SOWASH, THOMPSON
| Provider | City | State | Total Paid |
|---|---|---|---|
| PACIFIC EYE GROUP, PC | PORTLAND | OR | $15K |
| PACIFIC EYE GROUP, PC. | EUGENE | OR | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $876.00 |
| 2023 | 28 | $2K |
| 2024 | 126 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 166 | 166 | $11K |