NPI: 1831477488 · NEWTOWN SQUARE, PA 19073 · Optometrist · NPI assigned 08/01/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 462 | $902.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 133 | 132 | $300.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 101 | 101 | $248.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 127 | 127 | $168.00 |
| V2781 | Progressive lens, per lens | 13 | 13 | $110.00 |
| V2299 | Specialty bifocal (by report) | 13 | 13 | $75.40 |
| V2750 | Anti-reflective coating, per lens | 75 | 75 | $0.00 |