NPI: 1487729026 · WASHINGTON, DC 20036 · Optometrist · NPI assigned 11/21/2006
| Authorized Official | KHALIL, SAM (MANAGER) |
| NPI Enumeration Date | 11/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 37 | $700.00 |
| 2021 | 26 | $480.00 |
| 2022 | 121 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37 | 37 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 40 | 40 | $914.80 |
| V2020 | Frames, purchases | 26 | 26 | $520.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 28 | 28 | $185.56 |
| 92015 | Determination of refractive state | 53 | 53 | $0.00 |