NPI: 1972685402 · TOOELE, UT 84074 · Optometrist · NPI assigned 10/20/2006
| Authorized Official | DUCLOS, LANNY (CEO) |
| NPI Enumeration Date | 10/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14 | 13 | $1K |