NPI: 1508876095 · BOSSIER CITY, LA 71111 · Eyewear Supplier · NPI assigned 08/08/2006
| Authorized Official | MCCLURE, EDDIE (OWNER, PRESIDENT) |
| NPI Enumeration Date | 08/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,599 | $97K |
| 2019 | 3,626 | $75K |
| 2020 | 2,693 | $55K |
| 2021 | 2,019 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3,417 | 3,388 | $92K |
| V2020 | Frames, purchases | 4,420 | 4,386 | $70K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4,409 | 4,375 | $61K |
| V2110 | Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens | 547 | 543 | $37K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 144 | 144 | $11K |