NPI: 1902379266 · EL DORADO SPRINGS, MO 64744 · Optometrist · NPI assigned 01/09/2019
| Authorized Official | MONTGOMERY, LAURA (OWNER/OPTOMETRIST) |
| Parent Organization | EL DORADO VISION, LLC |
| NPI Enumeration Date | 01/09/2019 |
Other providers sharing the same authorized official: MONTGOMERY, LAURA
| Provider | City | State | Total Paid |
|---|---|---|---|
| THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES, INC. | MANSFIELD | OH | $12.05M |
| THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC. | MANSFIELD | OH | $7.72M |
| COUNTRYSIDE THERAPY GROUP, INC | STEPHENVILLE | TX | $3.88M |
| BOLIVAR VISION, LLC | BOLIVAR | MO | $35K |
| COUNTRYSIDE THERAPY GROUP HOME HEALTH, LLC | STEPHENVILLE | TX | $8K |
| THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC. | MANSFIELD | OH | $662.51 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 86 | $1K |
| 2021 | 285 | $6K |
| 2022 | 754 | $25K |
| 2023 | 1,098 | $43K |
| 2024 | 581 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 501 | 482 | $44K |
| V2020 | Frames, purchases | 689 | 673 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 228 | 222 | $14K |
| 92015 | Determination of refractive state | 1,025 | 990 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 225 | 111 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 136 | 82 | $2K |