NPI: 1164503173 · VICTORIA, TX 77904 · Optometrist · NPI assigned 10/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 191 | $4K |
| 2024 | 45 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 48 | 48 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 88 | 80 | $2K |
| V2020 | Frames, purchases | 86 | 80 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 14 | 14 | $607.25 |