SOUTH GIBSON EYECARE ASSOCIATES, LLC
NPI: 1407123128
· HAUBSTADT, IN 47639
· Optometrist
· NPI assigned 11/23/2011
$498.49
Total Medicaid Paid
Provider Details
| Authorized Official | IRVIN, JEFFREY (OWNER) |
| NPI Enumeration Date | 11/23/2011 |
Related Entities
Other providers sharing the same authorized official: IRVIN, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
42 |
$278.14 |
| 2022 |
13 |
$129.40 |
| 2023 |
14 |
$90.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
69 |
65 |
$498.49 |