NPI: 1790722064 · PHILADELPHIA, PA 19148 · Eyewear Supplier · NPI assigned 06/02/2006
| Authorized Official | PURCELL, ANNA (PROVIDER NETWORK ADMINISTRATOR) |
| NPI Enumeration Date | 06/02/2006 |
Other providers sharing the same authorized official: PURCELL, ANNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| NATIONAL VISION, INC. | WAIPAHU | HI | $200K |
| NATIONAL VISION, INC. | SOLDOTNA | AK | $49K |
| NATIONAL VISION, INC. | LA QUINTA | CA | $35K |
| NATIONAL VISION, INC. | CORONA | CA | $763.95 |
| NATIONAL VISION, INC. | CHULA VISTA | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| NATIONAL VISION, INC. | OCEANSIDE | CA | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 660 | $22K |
| 2021 | 671 | $25K |
| 2022 | 1,081 | $35K |
| 2023 | 1,546 | $51K |
| 2024 | 151 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1,565 | 1,500 | $64K |
| V2020 | Frames, purchases | 1,036 | 794 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 823 | 358 | $22K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 441 | 416 | $18K |
| V2750 | Anti-reflective coating, per lens | 164 | 73 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 53 | 26 | $1K |
| 92083 | 27 | 27 | $0.00 |