SULLINS EYE CARE CENTER, INC.
NPI: 1578744868
· MADISON, AL 35758
· Optometrist
· NPI assigned 11/15/2007
$423.00
Total Medicaid Paid
Provider Details
| Authorized Official | TIDWELL, LYNNE (BUSINESS MANAGER) |
| NPI Enumeration Date | 11/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$423.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92341 |
|
20 |
20 |
$360.00 |
| 92015 |
Determination of refractive state |
17 |
17 |
$63.00 |