NPI: 1023055951 · LEDGEWOOD, NJ 07852 · Eyewear Supplier · NPI assigned 05/31/2006
| Authorized Official | PURCELL, ANNA (PROVIDER NETWORK ADMINISTRATOR) |
| NPI Enumeration Date | 05/31/2006 |
Other providers sharing the same authorized official: PURCELL, ANNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NATIONAL VISION, INC. | WAIPAHU | HI | $200K |
| NATIONAL VISION, INC. | SOLDOTNA | AK | $49K |
| NATIONAL VISION, INC. | LA QUINTA | CA | $35K |
| NATIONAL VISION, INC. | CORONA | CA | $763.95 |
| NATIONAL VISION, INC. | CHULA VISTA | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 630 | $0.00 |
| 2019 | 175 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 255 | 255 | $0.00 |
| V2020 | Frames, purchases | 342 | 339 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 165 | 103 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 18 | 12 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25 | 25 | $0.00 |