WAL-MART STORES EAST, LP
NPI: 1073694071
· EAU CLAIRE, WI 54701
· Optician
· NPI assigned 10/17/2006
$183.00
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/17/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
31 |
$0.00 |
| 2023 |
12 |
$183.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
12 |
12 |
$183.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
27 |
$0.00 |