NPI: 1811957061 · NANTICOKE, PA 18634 · Optometrist · NPI assigned 03/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 61 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24 | 24 | $996.16 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $713.52 |
| V2020 | Frames, purchases | 12 | 12 | $84.00 |
| 92015 | Determination of refractive state | 13 | 13 | $58.95 |