CLCA INC
NPI: 1396925889
· JENKS, OK 74037
· Optometrist
· NPI assigned 11/13/2007
Provider Details
| Authorized Official | VANDERPOOL, TOM (DOCTOR OF OPTOMETRY/OWNER) |
| NPI Enumeration Date | 11/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
68 |
68 |
$1K |
| 92002 |
|
12 |
12 |
$792.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
17 |
17 |
$474.30 |
| V2020 |
Frames, purchases |
16 |
16 |
$160.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16 |
16 |
$0.00 |