NPI: 1225022783 · MELROSE PARK, IL 60160 · Optometrist · NPI assigned 09/09/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 76 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19 | 19 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 13 | 13 | $585.00 |
| V2025 | Deluxe frame | 32 | 31 | $347.30 |
| V2799 | Vision item or service, miscellaneous | 12 | 12 | $0.00 |