NPI: 1326459835 · LOVELL, WY 82431 · Optometrist · NPI assigned 05/19/2014
| Authorized Official | DESPAIN, JACOB (OPTOMETRIST) |
| NPI Enumeration Date | 05/19/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $624.96 |
| 2019 | 78 | $3K |
| 2020 | 97 | $5K |
| 2021 | 94 | $4K |
| 2022 | 12 | $190.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 49 | 49 | $5K |
| V2020 | Frames, purchases | 42 | 39 | $3K |
| 92015 | Determination of refractive state | 175 | 175 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 42 | 40 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $783.84 |