NPI: 1063800175 · COUNCIL BLUFFS, IA 51501 · Optician · NPI assigned 12/26/2014
| Authorized Official | LAUVER, DEB (SPECIALIST PLAN ENROLLMENT) |
| NPI Enumeration Date | 12/26/2014 |
Other providers sharing the same authorized official: LAUVER, DEB
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES, INC | OMAHA | NE | $235K |
| WAL-MART STORES, INC. | SIOUX CENTER | IA | $172K |
| WAL-MART STORES EAST, LP | STOUGHTON | WI | $116K |
| WAL-MART STORES EAST LP | NEW BERLIN | WI | $111K |
| WAL-MART STORES EAST, LP | WHITEWATER | WI | $92K |
| WAL-MART STORES EAST, LP | WARREN | MI | $17K |
| WAL-MART STORES EAST, LP | LIMA | OH | $11K |
| WAL-MART STORES EAST, LP | HARTFORD | WI | $476.00 |
| WALMART INC. | LAS VEGAS | NV | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $259.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 12 | 12 | $259.25 |