NPI: 1376908095 · BREWERTON, NY 13029 · Eyewear Supplier · NPI assigned 12/22/2015
| Authorized Official | BLACKMER, HAN (LICENSED OPTICIAN/OWNER) |
| NPI Enumeration Date | 12/22/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 65 | $647.50 |
| 2020 | 392 | $14K |
| 2021 | 487 | $24K |
| 2022 | 1,136 | $20K |
| 2023 | 227 | $3K |
| 2024 | 882 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,448 | 1,438 | $30K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 994 | 645 | $30K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 399 | 249 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 37 | 37 | $555.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 311 | 168 | $378.00 |