NPI: 1407028533 · JACKSON, OH 45640 · Eyewear Supplier · NPI assigned 03/28/2008
| Authorized Official | BILLMAN, RICHARD (OWNER) |
| NPI Enumeration Date | 03/28/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $582.85 |
| 2023 | 134 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 24 | 24 | $988.08 |
| V2020 | Frames, purchases | 40 | 39 | $780.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 18 | 18 | $773.28 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 30 | 29 | $721.52 |
| 92341 | 30 | 30 | $582.85 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 22 | 21 | $208.00 |