NPI: 1326193509 · STATEN ISLAND, NY 10305 · Optician · NPI assigned 01/25/2007
| Authorized Official | SOLOMON, STANLEY (OWNER) |
| NPI Enumeration Date | 01/25/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $325.32 |
| 2020 | 57 | $530.72 |
| 2023 | 754 | $491.78 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29 | 15 | $379.72 |
| V2020 | Frames, purchases | 59 | 59 | $312.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 26 | 13 | $164.32 |
| 68801 | 60 | 60 | $133.20 | |
| 92083 | 111 | 111 | $93.00 | |
| 92250 | 117 | 117 | $89.00 | |
| 92004 | 54 | 54 | $80.00 | |
| 92285 | 115 | 115 | $56.58 | |
| 92014 | 64 | 64 | $40.00 | |
| 92286 | 97 | 97 | $0.00 | |
| 92025 | 119 | 119 | $0.00 | |
| 68761 | 17 | 17 | $0.00 |