ELIZABETHTON VISION AND CONTACT LENS CENTER INC
NPI: 1922471002
· ELIZABETHTON, TN 37643
· Optometrist
· NPI assigned 11/11/2015
$854.10
Total Medicaid Paid
Provider Details
| Authorized Official | PARRISH, BEN (PRESIDENT) |
| NPI Enumeration Date | 11/11/2015 |
Related Entities
Other providers sharing the same authorized official: PARRISH, BEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
32 |
$854.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92100 |
|
16 |
14 |
$467.94 |
| 92015 |
Determination of refractive state |
16 |
14 |
$386.16 |