NPI: 1346441987 · EAST BRUNSWICK, NJ 08816 · Exclusive Provider Organization · NPI assigned 05/30/2007
| Authorized Official | KIM, VESTA (OWNER) |
| NPI Enumeration Date | 05/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,851 | $0.00 |
| 2019 | 1,550 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,051 | 1,050 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 946 | 506 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 507 | 277 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 796 | 417 | $0.00 |
| V2599 | Contact lens, other type | 101 | 101 | $0.00 |