WAL-MART STORES, INC.
NPI: 1144381781
· WASHINGTON, MO 63090
· Optician
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | RICE, BJ (PROVIDER ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 12/13/2006 |
Related Entities
Other providers sharing the same authorized official: RICE, BJ
| Provider | City | State | Total Paid |
|---|
| WAL-MART STORES EAST, LP |
WHITEHALL |
OH |
$295K |
| WAL-MART STORES EAST, LP |
KANSAS CITY |
MO |
$267K |
| WAL-MART STORES EAST, LP |
COLUMBUS |
OH |
$229K |
| WAL-MART STORES EAST, LP |
HANOVER |
PA |
$103K |
| WAL-MART STORES EAST, LP |
NASHVILLE |
TN |
$67K |
| WAL-MART STORES, INC. |
LAS VEGAS |
NV |
$39K |
| WAL-MART STORES EAST, LP |
MATHEWS |
LA |
$36K |
| WAL-MART STORES EAST, LP |
JOHNSON CITY |
TN |
$718.15 |
| WAL-MART STORES EAST, LP |
MACCLENNY |
FL |
$470.00 |
| WAL-MART STORES EAST, LP |
OOLTEWAH |
TN |
$291.05 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
141 |
$2K |
| 2024 |
24 |
$149.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
88 |
88 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
61 |
60 |
$551.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
16 |
$145.00 |