WAL-MART STORES EAST, LP
NPI: 1134594682
· SALEM, MA 01970
· Optician
· NPI assigned 12/09/2015
$85.36
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIR HEALTHCARE CONTRACT& ENROLL) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 12/09/2015 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13 |
$85.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
13 |
13 |
$85.36 |