NPI: 1437338266 · GOUVERNEUR, NY 13642 · Optometrist · NPI assigned 10/29/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 399 | $4K |
| 2019 | 63 | $241.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 153 | 153 | $2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 29 | 29 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 24 | 24 | $960.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 24 | 12 | $492.96 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 232 | 119 | $0.00 |