NICHOLS OPTICAL INC
NPI: 1992755482
· TRAVERSE CITY, MI 49684
· Eyewear Supplier
· NPI assigned 05/12/2006
$607.75
Total Medicaid Paid
Provider Details
| Authorized Official | WIRTH, LORI (GENERAL MANAGER) |
| NPI Enumeration Date | 05/12/2006 |
Related Entities
Other providers sharing the same authorized official: WIRTH, LORI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$607.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
13 |
13 |
$607.75 |