NPI: 1760520191 · INDEPENDENCE, OH 44131 · Optometrist · NPI assigned 02/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 122 | $3K |
| 2022 | 73 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 73 | 73 | $3K |
| V2020 | Frames, purchases | 92 | 92 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16 | 16 | $310.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14 | 14 | $250.00 |