NPI: 1346291630 · WHITE BEAR LAKE, MN 55110 · Optometrist · NPI assigned 05/12/2006
| Authorized Official | OLUFSON, JULIE (INSURANCE MANAGER) |
| NPI Enumeration Date | 05/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 106 | $168.84 |
| 2019 | 92 | $2K |
| 2020 | 110 | $4K |
| 2021 | 139 | $5K |
| 2022 | 84 | $2K |
| 2023 | 170 | $3K |
| 2024 | 69 | $888.63 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 80 | 78 | $7K |
| 92015 | Determination of refractive state | 584 | 569 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 44 | 39 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $1K |
| V2020 | Frames, purchases | 32 | 27 | $974.40 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17 | 13 | $336.31 |