SPRINGVILLE EYE CARE, LLC
NPI: 1255439204
· SPRINGVILLE, NY 14141
· Optometrist
· NPI assigned 09/20/2006
$780.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROSENSWIE, SHANNON (MEMBER/ MANAGER/OWNER) |
| NPI Enumeration Date | 09/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$0.00 |
| 2021 |
25 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
13 |
13 |
$780.00 |
| 92015 |
Determination of refractive state |
24 |
24 |
$0.00 |