NPI: 1396396750 · FORT MITCHELL, KY 41017 · Optometrist · NPI assigned 09/26/2019
| Authorized Official | WILLIAMS, RYAN (COO) |
| NPI Enumeration Date | 09/26/2019 |
Other providers sharing the same authorized official: WILLIAMS, RYAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| T STREET LLC | SACRAMENTO | CA | $15.65M |
| CITY OF FAIRBORN | FAIRBORN | OH | $1.39M |
| MEDICAL DIRECTORS OF IDAHO PLLC | NAMPA | ID | $925K |
| TTJ, INC | MENA | AR | $364K |
| FLORENCE FAMILY MEDICINE LLC | FLORENCE | SC | $288K |
| TTJ, INC | GLENWOOD | AR | $94K |
| BLANCHARD FAMILY DENTAL, PLLC | BLANCHARD | MI | $26K |
| CARPINTERIA LLC | MENLO PARK | CA | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 76 | $0.00 |
| 2022 | 43 | $0.00 |
| 2024 | 397 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 148 | 145 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 53 | 53 | $1K |
| V2020 | Frames, purchases | 56 | 56 | $952.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29 | 28 | $515.52 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 17 | 17 | $375.00 |
| 92015 | Determination of refractive state | 201 | 195 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 12 | 12 | $0.00 |