NPI: 1902242894 · GLENDORA, CA 91741 · Optometrist · NPI assigned 05/17/2013
| Authorized Official | SHAMELL, MICHELE (BILLING MANAGER) |
| NPI Enumeration Date | 05/17/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 73 | $5K |
| 2021 | 52 | $4K |
| 2023 | 357 | $25K |
| 2024 | 79 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 218 | 218 | $20K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 189 | 189 | $9K |
| V2744 | Tint, photochromatic, per lens | 95 | 95 | $6K |
| V2781 | Progressive lens, per lens | 15 | 15 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 30 | 30 | $2K |
| 92015 | Determination of refractive state | 14 | 14 | $0.00 |