NPI: 1013098466 · LEWISVILLE, TX 75067 · Optician · NPI assigned 10/18/2006
| Authorized Official | PAINTER, DIANNA (ENROLLMENT SPECIALIST) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 10/18/2006 |
Other providers sharing the same authorized official: PAINTER, DIANNA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST LP | LORAIN | OH | $130K |
| WAL-MART STORES EAST LP | SHEBOYGAN | WI | $128K |
| WAL-MART STORES EAST LP | FALLSTON | MD | $105K |
| WAL-MART STORES EAST LP | DU BOIS | PA | $55K |
| WAL-MART STORES EAST LP | ETTERS | PA | $43K |
| WAL-MART STORES INC | GRIMES | IA | $43K |
| WAL-MART STORES INC | ELGIN | IL | $40K |
| WAL-MART STORES EAST, LP | ERIE | PA | $40K |
| WAL-MART STORES INC | STREAMWOOD | IL | $39K |
| WAL-MART STORES EAST, LP | PITTSTON | PA | $37K |
| WAL-MART STORES EAST LP | BRIDGETON | MO | $36K |
| WAL-MART STORES EAST LP | BILOXI | MS | $26K |
| WAL-MART STORES EAST LP | CLARION | PA | $24K |
| WAL-MART STORES INC | JOHNSBURG | IL | $14K |
| WAL-MART STORES EAST LP | GARFIELD | NJ | $9K |
| WAL-MART STORES INC | NEWTON | IA | $7K |
| WAL-MART STORES EAST LP | KNOXVILLE | TN | $6K |
| WAL-MART STORES EAST LP | LEHIGHTON | PA | $3K |
| WAL-MART STORES EAST LP | MANY | LA | $3K |
| WAL-MART STORES INC | RENO | NV | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 98 | $2K |
| 2021 | 1,281 | $16K |
| 2022 | 1,047 | $14K |
| 2023 | 437 | $7K |
| 2024 | 292 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,418 | 1,401 | $24K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 875 | 863 | $17K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 74 | 72 | $1K |
| V2750 | Anti-reflective coating, per lens | 597 | 592 | $715.30 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 41 | 41 | $643.31 |
| V2799 | Vision item or service, miscellaneous | 150 | 129 | $7.57 |