WIN VISION BOUTIQUE LLC
NPI: 1871058388
· CLIFTON PARK, NY 12065
· Ophthalmic Technician/Technologist
· NPI assigned 02/08/2019
$948.59
Total Medicaid Paid
Provider Details
| Authorized Official | SHASHATI, NICHOLAS (PROFESSIONAL SERVICES) |
| NPI Enumeration Date | 02/08/2019 |
Related Entities
Other providers sharing the same authorized official: SHASHATI, NICHOLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
49 |
$948.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92286 |
|
16 |
15 |
$333.33 |
| 92250 |
|
17 |
16 |
$332.48 |
| 92025 |
|
16 |
16 |
$282.78 |