NPI: 1164503298 · MOUNTAIN GROVE, MO 65711 · Optician · NPI assigned 10/17/2006
Authorized official GENTILE, NICOLE controls 20+ related entities in our dataset. Read more
| Authorized Official | GENTILE, NICOLE (NPI COORDINATOR) |
| NPI Enumeration Date | 10/17/2006 |
Other providers sharing the same authorized official: GENTILE, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES TEXAS, LP | LAKE JACKSON | TX | $632K |
| WAL-MART STORES TEXAS, LP | BAYTOWN | TX | $595K |
| WAL-MART STORES TEXAS, LP | PASADENA | TX | $497K |
| WAL-MART STORES TEXAS, LP | ALVIN | TX | $483K |
| WAL-MART STORES EAST, LP | CINCINNATI | OH | $464K |
| WAL-MART STORES TEXAS, LP | BRYAN | TX | $440K |
| WAL-MART STORES TEXAS, LP | SAN ANTONIO | TX | $437K |
| WAL-MART STORES TEXAS, LP | HOUSTON | TX | $418K |
| WAL-MART STORES EAST, LP | MADISON | OH | $403K |
| WAL-MART STORES TEXAS, LP | EDINBURG | TX | $374K |
| WAL-MART STORES TEXAS, LP | CLEVELAND | TX | $363K |
| WAL-MART STORES TEXAS, LP | LIVINGSTON | TX | $318K |
| WAL-MART STORES EAST, LP | LOGAN | OH | $303K |
| WAL-MART STORES TEXAS, LP | HARLINGEN | TX | $301K |
| WAL-MART STORES TEXAS, LP | HOUSTON | TX | $300K |
| WAL-MART STORES TEXAS, LP | SPRING | TX | $286K |
| WAL-MART STORES EAST, LP | ATHENS | OH | $276K |
| WAL-MART STORES EAST, LP | NEWARK | OH | $260K |
| WAL-MART STORES EAST, LP | HAMILTON | OH | $246K |
| WAL-MART STORES TEXAS, LP | ROUND ROCK | TX | $240K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 154 | $2K |
| 2019 | 233 | $3K |
| 2020 | 113 | $2K |
| 2021 | 355 | $9K |
| 2022 | 781 | $22K |
| 2023 | 865 | $33K |
| 2024 | 638 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,395 | 1,393 | $28K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 237 | 237 | $15K |
| 92002 | 263 | 263 | $13K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 685 | 684 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 126 | 126 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 74 | 74 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 347 | 347 | $3K |
| V2025 | Deluxe frame | 12 | 12 | $0.00 |