WA-MART STORES TEXAS, LP
NPI: 1205917648
· LONGVIEW, TX 75604
· Optician
· NPI assigned 10/18/2006
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
38 |
$493.66 |
| 2021 |
162 |
$4K |
| 2022 |
240 |
$7K |
| 2023 |
119 |
$3K |
| 2024 |
65 |
$899.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2025 |
Deluxe frame |
140 |
139 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
209 |
209 |
$3K |
| V2020 |
Frames, purchases |
148 |
144 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
115 |
115 |
$1K |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$330.00 |