Esther Nakagawara
Optometrist · Garner, NCNPI 1508171364
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 91.1% of the total across 129 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 17.3% — the pattern of someone who eats at a lot of different presentations. Among optometrist clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 129 payments — averaging $66.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb Americas Inc.$1K
- Coopervision Inc.$1K
- Alcon$1K
- Johnson & Johnson Vision Care, Inc.$918
- Bausch & Lomb, A Division Of Bausch Health US, LLC$725
- Dompe US, Inc.$328
- plus $3K from 17 others
Across 3 payments — averaging $118,158 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Bausch & Lomb Americas Inc.$354K
What the payments were for
- Consulting fees$1602%
- Travel & lodging$3794%
- Food & beverage$7,77791%
- Gifts$170%
- Entertainment$1992%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Bausch & Lomb Americas Inc. | 18 | $1,480 |
| Coopervision Inc. | 26 | $1,424 |
| Alcon | 13 | $1,061 |
| Johnson & Johnson Vision Care, Inc. | 28 | $918 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 10 | $725 |
| Dompe US, Inc. | 4 | $328 |
| Glaukos Corporation | 2 | $315 |
| Shire North American Group Inc | 5 | $275 |
| Tarsus Pharmaceuticals, Inc. | 2 | $273 |
| Oyster Point Pharma, Inc. | 3 | $234 |
| AbbVie(2 entities) | 3 | $223 |
| Optos, Inc. | 2 | $199 |
| Thea Pharma Inc. | 1 | $186 |
| Biotissue Holdings Inc. | 1 | $137 |
| Astellas Pharma US Inc | 1 | $125 |
| Harrow Eye, LLC | 1 | $124 |
| Amgen | 1 | $124 |
| Kala Pharmaceuticals, Inc. | 1 | $122 |
| Regeneron Healthcare Solutions, Inc. | 1 | $119 |
| Novartis | 3 | $90 |
| Eyevance Pharmaceuticals LLC | 1 | $18 |
| Carl Zeiss Meditec, Inc. | 1 | $17 |
| Sun Pharmaceutical Industries Inc. | 1 | $15 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- MIEBO$458
- XIIDRA$448
- INFUSE$447
- DAILIES$379
- Acuvue$353
- PANORAMIC OPHTHALMOSCOPE$269
- OCT OPHTHALMOSCOPE$269
- BIOTRUE$247
- ULTRA$247
- BIOTRUE ONE DAY$247
- MiSight Contact Lens$231
- LOTEMAX SM$229
- TYRVAYA$210
- PHOTREXA CROSS-LINKING KIT$146
- NFC-700$134
- Precision7$131
- VYZULTA$130
- Izervay$125
- XDEMVY$125
- VEVYE$124
How this compares
$8,533 in reported general payments places this provider in the 95th percentile of 1,326 optometrist providers in North Carolina.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Latanoprost | 15 | $117 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Garner
- Crystal BrimerWilmington$920K
- Osama SaidRaleigh$597K
- Ryan CorteAsheville$569K
- Sanjay PatelApex$518K
- Sean SmolenyakRaleigh$512K
- Rachael WrubleBelmont$228K
- Lisa GreeneArden$186K
- Jennifer LyerlyMorrisville$164K
- Timothy PoirierKnightdale$130K
- Randall ThomasConcord$126K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.