EYE CARE OPTICAL
NPI: 1558489369
· TULSA, OK 74105
· Eyewear Supplier
· NPI assigned 03/27/2007
$465.24
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, AMY (AR MANAGER) |
| NPI Enumeration Date | 03/27/2007 |
Related Entities
Other providers sharing the same authorized official: JONES, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
36 |
$465.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$345.24 |
| V2020 |
Frames, purchases |
12 |
12 |
$120.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |