NPI: 1629079546 · COMMACK, NY 11725 · Optometrist · NPI assigned 08/02/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 111 | $2K |
| 2022 | 141 | $1K |
| 2023 | 100 | $1K |
| 2024 | 124 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 146 | 142 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 112 | 111 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 108 | 107 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $410.00 |
| 92015 | Determination of refractive state | 98 | 97 | $0.00 |