Tiffany Lione
Optometrist · Aldie, VANPI 1649243908
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $14,275 of the $23,068 with a category attached, or 61.9%. Bausch & Lomb, A Division Of Bausch Health US, LLC accounts for 80.3% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2021 at $13,217 and has fallen 97.1% since, to $387 in 2025. Among optometrist clinicians in VA 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 153 payments — averaging $150.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bausch & Lomb, A Division Of Bausch Health US, LLC$19K
- Alcon$2K
- Coopervision Inc.$2K
- Bausch & Lomb Americas Inc.$584
- Sight Sciences, Inc.$234
- Glaukos Corporation$104
- plus $440 from 12 others
What the payments were for
- Consulting fees$2,0009%
- Speaking & faculty fees$14,27562%
- Travel & lodging$1,3126%
- Food & beverage$5,48124%
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, A Division Of Bausch Health US, LLC | 55 | $18,523 |
| Alcon | 41 | $1,620 |
| Coopervision Inc. | 15 | $1,563 |
| Bausch & Lomb Americas Inc. | 16 | $584 |
| Sight Sciences, Inc. | 6 | $234 |
| Glaukos Corporation | 1 | $104 |
| Maculogix, Inc. | 1 | $98 |
| ABB Con-cise Optical Group LLC | 3 | $63 |
| Novartis | 4 | $62 |
| AbbVie | 2 | $44 |
| Rxsight Inc | 1 | $37 |
| Oyster Point Pharma, Inc. | 2 | $33 |
| Dompe US, Inc. | 1 | $23 |
| Shire North American Group Inc | 1 | $22 |
| Kala Pharmaceuticals, Inc. | 1 | $20 |
| Johnson & Johnson Vision Care, Inc. | 1 | $16 |
| Biotissue Holdings Inc. | 1 | $12 |
| Oasis Medical, Inc. | 1 | $11 |
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$14,088
- ULTRA$3,844
- BIOTRUE ONE DAY$3,359
- ULTRA MULTIFOCAL TORIC$2,000
- Non-Product Brand Specific$1,000
- Precision 1$382
- DAILIES$264
- MyDay Contact Lens$223
- TOTAL30$142
- DAILIES TOTAL1$135
- ACTIVEFOCUS$127
- BIOTRUE$125
- KXL System$104
- Photrexa$104
How this compares
$23,068 in reported general payments places this provider in the 95th percentile of 1,230 optometrist providers in Virginia.
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 |
|---|---|---|
| Latanoprost | 16 | $20 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Aldie
- Walter WhitleyNorfolk$546K
- Jacqueline TheisRichmond$80K
- Joseph AllenRichmond$75K
- Keith SmithsonReston$74K
- Michael SwattsChesapeake$59K
- Kurt DevitoVirginia Beach$54K
- Walter SchlabachHarrisonburg$31K
- Mark AbrahamFalls Church$30K
- David TangVirginia Beach$29K
- Jeffrey FardinkRichmond$23K
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.