NPI: 1699973677 · VAN WERT, OH 45891 · Optometrist · NPI assigned 07/11/2007
| Authorized Official | BIDLACK, MARK (OPTOMETRIST) |
| NPI Enumeration Date | 07/11/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 330 | $5K |
| 2024 | 316 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 131 | 131 | $5K |
| V2020 | Frames, purchases | 93 | 91 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 51 | 49 | $960.00 |
| 92015 | Determination of refractive state | 294 | 291 | $618.06 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 77 | 76 | $366.00 |