NPI: 1710153382 · TALLMADGE, OH 44278 · Optometrist · NPI assigned 05/05/2008
| Authorized Official | ROTH, LAWRENCE (PRES.) |
| NPI Enumeration Date | 05/05/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 37 | $492.09 |
| 2024 | 64 | $226.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31 | 28 | $529.60 |
| 92015 | Determination of refractive state | 23 | 20 | $62.49 |
| V2020 | Frames, purchases | 16 | 16 | $60.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16 | 15 | $48.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 15 | 14 | $18.00 |