NPI: 1154683084 · CAROLINA, PR 00985 · Eyewear Supplier · NPI assigned 06/15/2012
| Authorized Official | PADILLA-ORTEGA, EVELYN (MIS DIRECTOR) |
| NPI Enumeration Date | 06/15/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,153 | $24K |
| 2019 | 349 | $80.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 796 | 698 | $24K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 538 | 484 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 168 | 156 | $0.00 |