NPI: 1538219498 · ODON, IN 47562 · Eyewear Supplier · NPI assigned 01/11/2007
| Authorized Official | WINTERGERST, C (PRESIDENT) |
| NPI Enumeration Date | 01/11/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $231.78 |
| 2020 | 59 | $2K |
| 2021 | 362 | $10K |
| 2022 | 532 | $15K |
| 2023 | 528 | $15K |
| 2024 | 318 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 521 | 502 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 162 | 158 | $11K |
| 92015 | Determination of refractive state | 761 | 743 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 243 | 235 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 113 | 109 | $7K |
| V2755 | U-v lens, per lens | 13 | 13 | $266.75 |