NPI: 1497382204 · LAWRENCE, KS 66049 · Corneal and Contact Management Optometrist · NPI assigned 03/24/2020
| Authorized Official | LETOURNEAU, JACOB (OWNER) |
| NPI Enumeration Date | 03/24/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 52 | $1K |
| 2021 | 200 | $4K |
| 2022 | 94 | $1K |
| 2023 | 198 | $4K |
| 2024 | 89 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 144 | 130 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 36 | 30 | $3K |
| 92015 | Determination of refractive state | 359 | 313 | $2K |
| V2760 | Scratch resistant coating, per lens | 64 | 58 | $987.75 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14 | 13 | $566.61 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16 | 12 | $370.49 |