NPI: 1376941336 · ODESSA, TX 79762 · Eyewear Supplier · NPI assigned 12/08/2014
| Authorized Official | PITTMAN, KAREN (DIRECTOR OF MANAGED CARE) |
| Parent Organization | EYEMART EXPRESS LLC |
| NPI Enumeration Date | 12/08/2014 |
Other providers sharing the same authorized official: PITTMAN, KAREN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $921K |
| EYEMART EXPRESS LLC | MIDWEST CITY | OK | $652K |
| EYEMART EXPRESS LLC | LAWTON | OK | $394K |
| EYEMART EXPRESS LLC | NORMAN | OK | $299K |
| EYEMART EXPRESS LLC | TULSA | OK | $269K |
| EYEMART EXPRESS LLC | TULSA | OK | $247K |
| EYEMART EXPRESS LLC | OWASSO | OK | $242K |
| EYEMART EXPRESS LLC | MUSKOGEE | OK | $223K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $211K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $104K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $88K |
| EYEMART EXPRESS LLC | SAND SPRINGS | OK | $47K |
| EYEMART EXPRESS LLC | TULSA | OK | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 113 | $3K |
| 2019 | 52 | $2K |
| 2020 | 305 | $4K |
| 2021 | 2,817 | $41K |
| 2022 | 2,752 | $49K |
| 2023 | 5,076 | $72K |
| 2024 | 2,890 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 4,836 | 4,511 | $81K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3,156 | 2,918 | $59K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2,421 | 2,204 | $24K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1,307 | 1,172 | $22K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 801 | 699 | $14K |
| V2025 | Deluxe frame | 611 | 526 | $13K |
| V2750 | Anti-reflective coating, per lens | 450 | 370 | $5K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 179 | 147 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 66 | 62 | $1K |
| V2799 | Vision item or service, miscellaneous | 178 | 173 | $52.97 |