OPTIMART, INC.
NPI: 1740497676
· BROOKSVILLE, FL 34613
· Optician
· NPI assigned 05/17/2007
$615.00
Total Medicaid Paid
Provider Details
| Authorized Official | MATHIS, GREGORY (ADMINISTRATOR) |
| NPI Enumeration Date | 05/17/2007 |
Related Entities
Other providers sharing the same authorized official: MATHIS, GREGORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
44 |
$615.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
31 |
27 |
$420.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$195.00 |