WINDSOR PARK VISION CENTER, LTD
NPI: 1164649133
· OAKLAND GARDENS, NY 11364
· Eyewear Supplier
· NPI assigned 04/19/2007
$572.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROTHMAN, CARL (OPTICIAN) |
| NPI Enumeration Date | 04/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
26 |
$572.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$312.00 |
| V2020 |
Frames, purchases |
13 |
13 |
$260.00 |