NPI: 1104298140 · BANGOR, PA 18013 · Eyewear Supplier · NPI assigned 10/29/2015
| Authorized Official | VELEKEI, TIMOTHY (OPTICIAN) |
| NPI Enumeration Date | 10/29/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 210 | $6K |
| 2021 | 658 | $20K |
| 2022 | 1,437 | $40K |
| 2023 | 2,103 | $55K |
| 2024 | 903 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,780 | 745 | $54K |
| V2020 | Frames, purchases | 1,125 | 894 | $43K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 907 | 897 | $36K |
| V2750 | Anti-reflective coating, per lens | 350 | 159 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1,084 | 379 | $2K |
| 92015 | Determination of refractive state | 65 | 65 | $40.00 |