NPI: 1013181940 · ELYRIA, OH 44035 · Eyewear Supplier · NPI assigned 04/22/2008
| Authorized Official | HELFRICH, MATTHIAS (PRESIDENT) |
| NPI Enumeration Date | 04/22/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 64 | $1K |
| 2024 | 175 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 83 | 82 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18 | 18 | $448.72 |
| V2020 | Frames, purchases | 44 | 44 | $420.00 |
| 92015 | Determination of refractive state | 39 | 39 | $341.19 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 43 | 43 | $146.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12 | 12 | $144.00 |