NPI: 1245438894 · HARRISBURG, SD 57032 · Optometrist · NPI assigned 07/05/2007
| Authorized Official | BOER, JOHN (PRESIDENT) |
| NPI Enumeration Date | 07/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $140.38 |
| 2022 | 155 | $6K |
| 2023 | 171 | $9K |
| 2024 | 57 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 54 | 53 | $6K |
| V2020 | Frames, purchases | 63 | 57 | $4K |
| 92015 | Determination of refractive state | 220 | 215 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16 | 16 | $2K |
| V2199 | Not otherwise classified, single vision lens | 30 | 29 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $400.00 |