NPI: 1730552134 · NEW BRAUNFELS, TX 78130 · Eyewear Supplier · NPI assigned 11/06/2015
| Authorized Official | PITTMAN, KAREN (DIRECTOR OF MANAGED CARE) |
| Parent Organization | EYEMART EXPRESS LLC |
| NPI Enumeration Date | 11/06/2015 |
Other providers sharing the same authorized official: PITTMAN, KAREN
| Provider | City | State | Total Paid |
|---|---|---|---|
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $921K |
| EYEMART EXPRESS LLC | MIDWEST CITY | OK | $652K |
| EYEMART EXPRESS LLC | LAWTON | OK | $394K |
| EYEMART EXPRESS LLC | NORMAN | OK | $299K |
| EYEMART EXPRESS LLC | TULSA | OK | $269K |
| EYEMART EXPRESS LLC | TULSA | OK | $247K |
| EYEMART EXPRESS LLC | OWASSO | OK | $242K |
| EYEMART EXPRESS LLC | MUSKOGEE | OK | $223K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $211K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $104K |
| EYEMART EXPRESS LLC | OKLAHOMA CITY | OK | $88K |
| EYEMART EXPRESS LLC | SAND SPRINGS | OK | $47K |
| EYEMART EXPRESS LLC | TULSA | OK | $19K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 353 | $5K |
| 2021 | 2,754 | $31K |
| 2022 | 2,106 | $34K |
| 2023 | 1,806 | $23K |
| 2024 | 760 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,411 | 1,293 | $26K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,648 | 1,464 | $26K |
| V2025 | Deluxe frame | 928 | 810 | $21K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2,079 | 1,871 | $17K |
| V2750 | Anti-reflective coating, per lens | 1,252 | 1,160 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 282 | 251 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 179 | 156 | $2K |