NPI: 1689745218 · BRISTOL, TN 37620 · Optometrist · NPI assigned 11/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 298 | $6K |
| 2024 | 83 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 165 | 161 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 57 | 57 | $2K |
| 92015 | Determination of refractive state | 40 | 37 | $155.00 |
| V2020 | Frames, purchases | 56 | 56 | $69.95 |
| V2744 | Tint, photochromatic, per lens | 12 | 12 | $0.00 |
| V2781 | Progressive lens, per lens | 12 | 12 | $0.00 |
| 92250 | 39 | 39 | $0.00 |