EYEWEAR SPECIALISTS
NPI: 1215014378
· SHAKOPEE, MN 55379
· Eyewear Supplier
· NPI assigned 11/01/2006
$288.00
Total Medicaid Paid
Provider Details
| Authorized Official | MAYNE, CHERYL (RCM MANAGER) |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: MAYNE, CHERYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
56 |
$288.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
27 |
27 |
$150.00 |
| V2020 |
Frames, purchases |
29 |
28 |
$138.00 |