OPTIMAL VISION OPTOMETRY PC
NPI: 1518695006
· ARTESIA, CA 90701
· Optometrist
· NPI assigned 08/11/2022
$384.00
Total Medicaid Paid
Provider Details
| Authorized Official | KAO, ELAINE (PRESIDENT) |
| NPI Enumeration Date | 08/11/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
37 |
$55.23 |
| 2024 |
51 |
$328.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
76 |
76 |
$364.82 |
| V2020 |
Frames, purchases |
12 |
12 |
$19.18 |