NPI: 1114063492 · ST LOUIS, MO 63110 · Optician · NPI assigned 01/30/2007
| Authorized Official | KRIEGER, MARK (VP, CFO) |
| NPI Enumeration Date | 01/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,192 | $21K |
| 2019 | 1,124 | $19K |
| 2020 | 714 | $15K |
| 2021 | 498 | $11K |
| 2022 | 108 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,508 | 804 | $34K |
| V2020 | Frames, purchases | 1,708 | 1,488 | $26K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 291 | 177 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 69 | 26 | $537.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 60 | 27 | $434.60 |