NPI: 1619285780 · WORCESTER, MA 01605 · Optician · NPI assigned 09/22/2010
| Authorized Official | MENA, ELVISI (BUSINESS MANAGER) |
| NPI Enumeration Date | 09/22/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 364 | $15K |
| 2019 | 27 | $1K |
| 2020 | 137 | $9K |
| 2021 | 88 | $677.40 |
| 2022 | 516 | $5K |
| 2023 | 1,021 | $9K |
| 2024 | 161 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 761 | 728 | $17K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 338 | 286 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 781 | 739 | $7K |
| V2781 | Progressive lens, per lens | 37 | 29 | $2K |
| V2744 | Tint, photochromatic, per lens | 122 | 114 | $2K |
| V2750 | Anti-reflective coating, per lens | 201 | 185 | $864.72 |
| V2755 | U-v lens, per lens | 59 | 50 | $180.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 15 | $0.00 |