NPI: 1043959430 · COLORADO CITY, CO 81019 · Optometrist · NPI assigned 06/02/2022
| Authorized Official | DRAKE, JENNI (OWNER) |
| Parent Organization | 3D VISION INC |
| NPI Enumeration Date | 06/02/2022 |
Other providers sharing the same authorized official: DRAKE, JENNI
| Provider | City | State | Total Paid |
|---|---|---|---|
| 3D VISION, INC | PUEBLO | CO | $215K |
| 3D VISION, INC | PUEBLO | CO | $11K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 126 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 63 | 60 | $8K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 16 | 14 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16 | 14 | $1K |
| V2750 | Anti-reflective coating, per lens | 16 | 14 | $569.28 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15 | 13 | $375.00 |