NPI: 1831678127 · PHOENIX, AZ 85016 · Eyewear Supplier · NPI assigned 08/08/2018
| Authorized Official | FIELDER, CHARLES (GENERAL MANAGER/ LICENSED OPTICIAN) |
| NPI Enumeration Date | 08/08/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 176 | $8K |
| 2019 | 406 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 322 | 317 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 159 | 159 | $8K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 69 | 69 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 32 | 32 | $0.00 |