WOODHAVEN OPTICAL LTD
NPI: 1902569072
· OZONE PARK, NY 11416
· Eyewear Supplier
· NPI assigned 10/15/2021
$802.72
Total Medicaid Paid
Provider Details
| Authorized Official | NAZGINOV, DAVID (PRESIDENT) |
| NPI Enumeration Date | 10/15/2021 |
Related Entities
Other providers sharing the same authorized official: NAZGINOV, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
46 |
$802.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
15 |
$615.72 |
| V2020 |
Frames, purchases |
16 |
16 |
$187.00 |