GRAND ISLAND OPTICAL PC
NPI: 1942520614
· AURORA, NE 68818
· Optometrist
· NPI assigned 06/04/2010
Provider Details
| Authorized Official | KETTELER, RENE (BUSINESS MANAGER) |
| NPI Enumeration Date | 06/04/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
145 |
$3K |
| 2024 |
182 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
142 |
138 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
34 |
34 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
48 |
48 |
$2K |
| V2020 |
Frames, purchases |
38 |
38 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
18 |
18 |
$671.20 |
| V2756 |
Eye glass case |
47 |
47 |
$47.00 |