If someone has astigmatism how in the world do they intend to detect that? Further many phone screens use nontraditional pixel arrangements and the ability to actually put the lense in front of your eye is the only way to get it right.
This seems like another scam that will be skiming off Medicare and Medicaid since people will have to go back for real exams.
Ultimately unless they stole from federal funds or customers in a direct way the big win will be compliance. Some of the fines seem geared towards that goal or are rushed to stop bad billing behaviors and can be calculated later.