NPI: 1396925889 · JENKS, OK 74037 · Optometrist · NPI assigned 11/13/2007
| Authorized Official | VANDERPOOL, TOM (DOCTOR OF OPTOMETRY/OWNER) |
| NPI Enumeration Date | 11/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129 | $3K |
| 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 |