NATIONAL VISION, INC.

NPI: 1134166549 · LEBANON, PA 17046 · Eyewear Supplier · NPI assigned 06/02/2006

$162K

Total Medicaid Paid

5,163

Total Claims

4,645

Beneficiaries

Codes Billed

2020-10

First Month

2024-02

Last Month

Provider Details

Authorized Official	PURCELL, ANNA (PROVIDER NETWORK ADMINISTRATOR)
NPI Enumeration Date	06/02/2006

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

Code	Description	Claims	Beneficiaries	Total Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1,379	1,331	$54K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	978	704	$42K
V2020	Frames, purchases	1,738	1,649	$29K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	646	610	$25K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	173	160	$10K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	14	14	$560.00
V2750	Anti-reflective coating, per lens	235	177	$255.16