NPI: 1679743249 · CLIFFSIDE PARK, NJ 07010 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/10/2008
| Authorized Official | MASTROCCO, DONNA (OFFICE MANAGER) |
| NPI Enumeration Date | 03/10/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 244 | $312.80 |
| 2019 | 209 | $500.00 |
| 2021 | 12 | $44.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 40 | 40 | $760.00 |
| 92015 | Determination of refractive state | 24 | 24 | $96.80 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 37 | 37 | $0.00 |
| V2020 | Frames, purchases | 321 | 320 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43 | 43 | $0.00 |