NPI: 1003998121 · FREDERICKSBURG, VA 22407 · Optician · NPI assigned 10/19/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/19/2006 |
Other providers sharing the same authorized official: EPPERSON, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $361K |
| WAL-MART STOREES EAST, LP | WADSWORTH | OH | $339K |
| WAL-MART STORES EAST, LP | LEWIS CENTER | OH | $276K |
| WAL-MART STORES EAST, LP | OAKLAND | MD | $161K |
| WAL-MART STORES EAST, LP | SALEM | OH | $107K |
| WAL-MART STORES EAST, LP | LIMA | OH | $8K |
| WAL-MART STORES EAST, LP | BUCKHANNON | WV | $7K |
| WAL-MART STORES EAST, LP | PRINCETON | WV | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 538 | $33K |
| 2019 | 641 | $25K |
| 2020 | 412 | $7K |
| 2021 | 78 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 420 | 419 | $39K |
| V2020 | Frames, purchases | 1,034 | 1,031 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 172 | 172 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 13 | 13 | $2K |
| V2750 | Anti-reflective coating, per lens | 17 | 17 | $816.00 |
| V2781 | Progressive lens, per lens | 13 | 13 | $0.00 |