NPI: 1427405133 · FAYETTEVILLE, NY 13066 · Optometrist · NPI assigned 05/23/2016
| Authorized Official | MAXON, MARK (CEO) |
| NPI Enumeration Date | 05/23/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 361 | $24K |
| 2019 | 65 | $5K |
| 2020 | 12 | $1K |
| 2021 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 221 | 218 | $24K |
| V2020 | Frames, purchases | 153 | 150 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 63 | 63 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 12 | $408.96 |