NPI: 1568988814 · DOWAGIAC, MI 49047 · Optometrist · NPI assigned 08/18/2017
| Authorized Official | LAMBART, DEVEN (VICE PRESIDENT) |
| Parent Organization | SOUTHWEST VISION CENTER INC. |
| NPI Enumeration Date | 08/18/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 127 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28 | 28 | $1K |
| V2020 | Frames, purchases | 35 | 35 | $700.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29 | 29 | $696.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $600.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 23 | 23 | $138.00 |