NPI: 1851749121 · LAFAYETTE, IN 47905 · Optometrist · NPI assigned 05/27/2016
| Authorized Official | DABELOW, RYAN (DIRECTOR OF FINACE) |
| NPI Enumeration Date | 05/27/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 195 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16 | 16 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16 | 15 | $1K |
| 92015 | Determination of refractive state | 87 | 82 | $1K |
| V2020 | Frames, purchases | 60 | 60 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16 | 16 | $729.12 |