NPI: 1972169365 · SHEBOYGAN FALLS, WI 53085 · Optometrist · NPI assigned 05/12/2019
| Authorized Official | STEINHORST, RUSS (EVP & CFO) |
| NPI Enumeration Date | 05/12/2019 |
Other providers sharing the same authorized official: STEINHORST, RUSS
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHOPTIKAL LLC | BILLINGS | MT | $790K |
| SHOPTIKAL LLC | MARSHFIELD | WI | $323K |
| SHOPTIKAL LLC | MARINETTE | WI | $172K |
| SHOPTIKAL LLC | GREEN BAY | WI | $95K |
| SHOPTIKAL LLC | WAUSAU | WI | $94K |
| SHOPTIKAL LLC | MONROE | WI | $32K |
| SHOPTIKAL LLC | JANESVILLE | WI | $29K |
| SHOPTIKAL LLC | APPLETON | WI | $17K |
| SHOPTIKAL LLC | SPOKANE | WA | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 101 | $3K |
| 2022 | 284 | $8K |
| 2023 | 585 | $19K |
| 2024 | 688 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 798 | 690 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 483 | 435 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 184 | 174 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 142 | 128 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37 | 37 | $692.90 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14 | 14 | $304.90 |