NPI: 1205276755 · GREENCASTLE, IN 46135 · Optometrist · NPI assigned 06/28/2013
| Authorized Official | HODGES, DARYL (OWNER) |
| NPI Enumeration Date | 06/28/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 68 | $2K |
| 2019 | 255 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 62 | 62 | $4K |
| 92015 | Determination of refractive state | 130 | 120 | $2K |
| V2020 | Frames, purchases | 63 | 63 | $1K |
| V2755 | U-v lens, per lens | 37 | 37 | $769.98 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16 | 16 | $572.88 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 15 | $488.40 |