NPI: 1841213311 · ORANGE CITY, FL 32763 · Eyewear Supplier · NPI assigned 07/25/2006
| Authorized Official | JEPPESEN, NANCY (OWNER) |
| NPI Enumeration Date | 07/25/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 423 | $3K |
| 2019 | 231 | $2K |
| 2021 | 13 | $110.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 202 | 183 | $2K |
| V2020 | Frames, purchases | 200 | 181 | $2K |
| V2025 | Deluxe frame | 71 | 66 | $800.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 109 | 104 | $748.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 85 | 73 | $693.00 |