NPI: 1114204195 · ATHENS, OH 45701 · Optometrist · NPI assigned 11/04/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 81 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15 | 15 | $644.40 |
| V2020 | Frames, purchases | 35 | 34 | $561.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16 | 16 | $300.00 |
| 92015 | Determination of refractive state | 15 | 15 | $0.00 |