NPI: 1922471804 · FERGUS FALLS, MN 56537 · Eyewear Supplier · NPI assigned 11/02/2015
| Authorized Official | MATTSON, KENT (CEO) |
| NPI Enumeration Date | 11/02/2015 |
Other providers sharing the same authorized official: MATTSON, KENT
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAKE REGION HEALTHCARE CORPORATION | FERGUS FALLS | MN | $25.34M |
| PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES | ELBOW LAKE | MN | $899K |
| LAKE REGION HEALTHCARE CORPORATION | FERGUS FALLS | MN | $63K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $646.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 24 | 20 | $646.40 |