NPI: 1821207176 · EAST AMHERST, NY 14051 · Optometrist · NPI assigned 05/22/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 110 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13 | 13 | $744.00 |
| V2020 | Frames, purchases | 35 | 29 | $656.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20 | 14 | $463.44 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 22 | 16 | $211.00 |
| 92015 | Determination of refractive state | 20 | 20 | $0.00 |