OPTICAL BOUTIQUE INC.
NPI: 1497954697
· MIAMI, FL 33136
· Optician
· NPI assigned 07/17/2007
$559.17
Total Medicaid Paid
Provider Details
| Authorized Official | FARIAS, JUAN (OWNER) |
| NPI Enumeration Date | 07/17/2007 |
Related Entities
Other providers sharing the same authorized official: FARIAS, JUAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$559.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
12 |
12 |
$559.17 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$0.00 |