NPI: 1992880447 · GLENVIEW, IL 60025 · Eyewear Supplier
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 97 | $1K |
| 2022 | 187 | $3K |
| 2023 | 384 | $6K |
| 2024 | 173 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 223 | 205 | $4K |
| V2020 | Frames, purchases | 222 | 218 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 132 | 130 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 114 | 105 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 84 | 78 | $979.54 |
| V2750 | Anti-reflective coating, per lens | 54 | 47 | $870.00 |
| 92340 | 12 | 12 | $270.81 |