FOR EYES OPTICAL OF PA
NPI: 1447308093
· LOMBARD, IL 60148
· Eyewear Supplier
· NPI assigned 01/08/2007
Deactivated NPI
· This NPI was deactivated on 07/15/2013. Reactivated 08/01/2013.
$140.40
Total Medicaid Paid
Provider Details
| Authorized Official | GRIFFIN, KIM (MANAGER) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: GRIFFIN, KIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
13 |
$140.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
13 |
13 |
$140.40 |