NPI: 1639613979 · TEXARKANA, TX 75503 · Optometrist · NPI assigned 12/06/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 124 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25 | 25 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 27 | 27 | $0.00 |
| V2020 | Frames, purchases | 16 | 16 | $0.00 |
| 92015 | Determination of refractive state | 43 | 43 | $0.00 |