NPI: 1972614584 · TUCSON, AZ 85711 · Eyewear Supplier · NPI assigned 08/31/2006
| Authorized Official | DECKER, STACIA (VICE PRESIDENT OF RETAIL) |
| NPI Enumeration Date | 08/31/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 580 | $16K |
| 2019 | 487 | $15K |
| 2020 | 59 | $2K |
| 2021 | 63 | $2K |
| 2022 | 71 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 587 | 562 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 514 | 487 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 62 | 62 | $2K |
| 92015 | Determination of refractive state | 72 | 72 | $842.87 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13 | 13 | $681.07 |
| 92002 | 12 | 12 | $549.12 |