SPECTACLE SHOPPE LLC
NPI: 1851569776
· PLATTSBURGH, NY 12901
· Optician
· NPI assigned 02/13/2008
Provider Details
| Authorized Official | RYDER, THOMAS (OWNER) |
| NPI Enumeration Date | 02/13/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$161.00 |
| 2021 |
49 |
$658.00 |
| 2022 |
165 |
$2K |
| 2023 |
132 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$2K |
| V2020 |
Frames, purchases |
98 |
97 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
54 |
27 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
194 |
96 |
$0.00 |