NPI: 1114009404 · DALLAS, TX 75228 · 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 |
|---|---|---|
| 2020 | 220 | $5K |
| 2021 | 1,060 | $26K |
| 2022 | 847 | $12K |
| 2023 | 846 | $14K |
| 2024 | 428 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,406 | 1,385 | $44K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 638 | 627 | $11K |
| V2750 | Anti-reflective coating, per lens | 1,055 | 1,042 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 175 | 174 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 15 | $202.00 |
| V2744 | Tint, photochromatic, per lens | 37 | 37 | $182.24 |
| V2799 | Vision item or service, miscellaneous | 75 | 60 | $10.00 |