NPI: 1386691103 · KAILUA KONA, HI 96740 · Eyewear Supplier · NPI assigned 05/27/2006
| Authorized Official | PURCELL, ANNA (PROVIDER NETWORK ADMINISTRATOR) |
| NPI Enumeration Date | 05/27/2006 |
Other providers sharing the same authorized official: PURCELL, ANNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NATIONAL VISION, INC. | WAIPAHU | HI | $200K |
| NATIONAL VISION, INC. | SOLDOTNA | AK | $49K |
| NATIONAL VISION, INC. | LA QUINTA | CA | $35K |
| NATIONAL VISION, INC. | CORONA | CA | $763.95 |
| NATIONAL VISION, INC. | CHULA VISTA | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,071 | $33K |
| 2019 | 946 | $33K |
| 2020 | 784 | $25K |
| 2021 | 885 | $26K |
| 2022 | 376 | $729.65 |
| 2023 | 191 | $358.00 |
| 2024 | 75 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,792 | 1,708 | $90K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,003 | 938 | $20K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 830 | 773 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 110 | 109 | $2K |
| 92015 | Determination of refractive state | 569 | 472 | $0.00 |
| 92250 | 12 | 12 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $0.00 |