NPI: 1306202700 · RAPID CITY, SD 57702 · Optometrist · NPI assigned 01/14/2016
| Authorized Official | CLARK, SHANE (PRESIDENT / OWNER) |
| NPI Enumeration Date | 01/14/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $137.16 |
| 2021 | 32 | $1K |
| 2022 | 159 | $7K |
| 2023 | 68 | $2K |
| 2024 | 131 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2199 | Not otherwise classified, single vision lens | 78 | 73 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28 | 27 | $3K |
| V2020 | Frames, purchases | 48 | 45 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16 | 16 | $2K |
| 92015 | Determination of refractive state | 162 | 153 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 42 | 39 | $1K |
| 92065 | 32 | 15 | $1K |