NPI: 1184007304 · KAILUA, HI 96734 · Optometrist · NPI assigned 07/07/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 56 | $1K |
| 2019 | 53 | $875.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26 | 26 | $814.50 |
| V2020 | Frames, purchases | 27 | 27 | $500.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 28 | 28 | $375.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28 | 28 | $300.00 |