NPI: 1932321296 · PUYALLUP, WA 98372 · Optometrist · NPI assigned 05/03/2007
| Authorized Official | PRIETO, CLYSTA (BOOKKEEPER) |
| NPI Enumeration Date | 05/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $141.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 12 | 12 | $141.84 |