Lloyd Butler
Optometrist · Jacksonville, NCNPI 1396904132
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.7% of the total across 117 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 14 manufacturers, the largest accounting for just 23.5% — 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 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 117 payments — averaging $41.38 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$956
- Bausch & Lomb, A Division Of Bausch Health US, LLC$636
- Biotissue Holdings Inc.$264
- Johnson & Johnson Vision Care, Inc.$152
- plus $632 from 8 others
Across 51 payments — averaging $38.82 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.
- Notal Vision, Inc.$2K
What the payments were for
- Food & beverage$4,68197%
- Gifts$190%
- Entertainment$1413%
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. | 23 | $1,138 |
| Coopervision Inc. | 35 | $1,065 |
| Alcon | 17 | $956 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 16 | $636 |
| Biotissue Holdings Inc. | 6 | $264 |
| Johnson & Johnson Vision Care, Inc. | 6 | $152 |
| Optos, Inc. | 3 | $141 |
| Notal Vision, Inc. | 4 | $137 |
| NEW World Medical,inc. | 1 | $124 |
| Dompe US, Inc. | 1 | $84 |
| Sun Pharmaceutical Industries Inc. | 1 | $77 |
| ABB Con-cise Optical Group LLC | 2 | $30 |
| Carl Zeiss Meditec AG | 1 | $19 |
| Carl Zeiss Meditec USA, Inc. | 1 | $19 |
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.
- INFUSE$451
- BIOTRUE$344
- VYZULTA$123
- PanOptix$120
- Precision7$113
- Precision 1$108
- Rocklatan$104
- Rhopressa$104
- SIMBRINZA$104
- ULTRA$104
- Multiple Brands Contact Lens$104
- MyDay Contact Lens$103
How this compares
$4,841 in reported general payments places this provider in the 90th percentile of 1,326 optometrist providers in North Carolina.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RestasisCyclosporine | 16 | $16,861 |
| CombiganBrimonidine Tartrate/Timolol | 13 | $6,517 |
| Prednisolone Acetate | 66 | $1,881 |
| Latanoprost | 133 | $1,559 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 13 | $830 |
| Brimonidine Tartrate | 14 | $553 |
| Timolol Maleate | 35 | $402 |
| MoxifloxacinMoxifloxacin Hcl | 12 | $310 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 13 | $252 |
| ErythromycinErythromycin Base | 11 | $137 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Jacksonville
- 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).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.