TRISTATE OPTOMETRY PLLC
NPI: 1952175911
· BRONX, NY 10455
· Optometrist
· NPI assigned 11/09/2023
$504.00
Total Medicaid Paid
Provider Details
| Authorized Official | TAO, JOHN (OD/OWNER) |
| NPI Enumeration Date | 11/09/2023 |
Related Entities
Other providers sharing the same authorized official: TAO, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$504.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$264.00 |
| V2020 |
Frames, purchases |
12 |
12 |
$240.00 |