NPI: 1407430697 · PHARR, TX 78577 · Eyewear Supplier · NPI assigned 05/12/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14 | 14 | $0.00 |