NPI: 1700945805 · RIDLEY PARK, PA 19078 · Optometrist · NPI assigned 12/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 543 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 149 | 149 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 136 | 68 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 188 | 94 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 70 | 35 | $0.00 |