NPI: 1861199366 · KAPAA, HI 96746 · Medical Specialty Clinic/Center · NPI assigned 02/14/2023
| Authorized Official | KLAUBA, NICHOLAS (OPTOMETRIST) |
| NPI Enumeration Date | 02/14/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 287 | $1K |
| 2024 | 250 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 59 | 59 | $1K |
| 92015 | Determination of refractive state | 228 | 228 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 87 | 87 | $691.99 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 71 | 71 | $607.31 |
| V2025 | Deluxe frame | 92 | 92 | $0.00 |