PELHAM EYE CENTER LLC
NPI: 1487252920
· PELHAM, AL 35124
· Optometrist
· NPI assigned 10/16/2020
$918.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WILLIAMS, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
30 |
$243.00 |
| 2024 |
67 |
$675.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
83 |
80 |
$684.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
13 |
$234.00 |