LAKE AVENUE EYECARE LLC
NPI: 1396932430
· GOTHENBURG, NE 69138
· Optometrist
· NPI assigned 10/03/2007
Provider Details
| Authorized Official | GOSNELL, JOHN (OWNER) |
| NPI Enumeration Date | 10/03/2007 |
Related Entities
Other providers sharing the same authorized official: GOSNELL, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
44 |
$702.24 |
| 2021 |
157 |
$3K |
| 2022 |
95 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
211 |
202 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
28 |
$2K |
| V2020 |
Frames, purchases |
13 |
13 |
$566.53 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
12 |
$521.85 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$417.60 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$315.56 |