NORWICH OPHTHALMOLOGY OPTICAL
NPI: 1326280512
· NIANTIC, CT 06357
· Optician
· NPI assigned 04/02/2009
$405.00
Total Medicaid Paid
Provider Details
| Authorized Official | HERTZ, JEFFREY (PRESIDENT) |
| Parent Organization | NORWICH OPHTHALMOLOGY OPTICAL |
| NPI Enumeration Date | 04/02/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
72 |
$0.00 |
| 2021 |
116 |
$0.00 |
| 2024 |
13 |
$405.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
13 |
13 |
$405.00 |
| V2020 |
Frames, purchases |
98 |
87 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
77 |
68 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
12 |
$0.00 |