NPI: 1235520370 · NEW BERLIN, WI 53151 · Optician · NPI assigned 02/11/2015
| Authorized Official | LAUVER, DEB (SPECIALIST PLAN ENROLLMENT) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 02/11/2015 |
Other providers sharing the same authorized official: LAUVER, DEB
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES, INC | OMAHA | NE | $235K |
| WAL-MART STORES, INC. | SIOUX CENTER | IA | $172K |
| WAL-MART STORES EAST, LP | STOUGHTON | WI | $116K |
| WAL-MART STORES EAST, LP | WHITEWATER | WI | $92K |
| WAL-MART STORES EAST, LP | WARREN | MI | $17K |
| WAL-MART STORES EAST, LP | LIMA | OH | $11K |
| WAL-MART STORES EAST, LP | HARTFORD | WI | $476.00 |
| WAL-MART STORES, INC | COUNCIL BLUFFS | IA | $259.25 |
| WALMART INC. | LAS VEGAS | NV | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 84 | $1K |
| 2019 | 154 | $3K |
| 2020 | 114 | $2K |
| 2021 | 919 | $20K |
| 2022 | 1,293 | $32K |
| 2023 | 1,601 | $35K |
| 2024 | 849 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 2,720 | 2,565 | $45K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 908 | 865 | $23K |
| V2781 | Progressive lens, per lens | 234 | 208 | $22K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 727 | 663 | $20K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 173 | 153 | $818.50 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 13 | 13 | $268.75 |
| V2750 | Anti-reflective coating, per lens | 239 | 221 | $0.00 |