NPI: 1245313584 · FREMONT, NE 68025 · Optician · NPI assigned 10/23/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/23/2006 |
Other providers sharing the same authorized official: EPPERSON, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $361K |
| WAL-MART STOREES EAST, LP | WADSWORTH | OH | $339K |
| WAL-MART STORES EAST, LP | LEWIS CENTER | OH | $276K |
| WAL-MART STORES EAST, LP | OAKLAND | MD | $161K |
| WAL-MART STORES EAST, LP | SALEM | OH | $107K |
| WAL-MART STORES EAST, LP | LIMA | OH | $8K |
| WAL-MART STORES EAST, LP | BUCKHANNON | WV | $7K |
| WAL-MART STORES EAST, LP | PRINCETON | WV | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 543 | $11K |
| 2019 | 397 | $8K |
| 2020 | 318 | $7K |
| 2021 | 1,347 | $27K |
| 2022 | 1,356 | $29K |
| 2023 | 1,283 | $27K |
| 2024 | 99 | $974.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 3,160 | 3,123 | $61K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,510 | 1,492 | $32K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 512 | 510 | $11K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 71 | 70 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 74 | 74 | $1K |
| V2025 | Deluxe frame | 16 | 16 | $215.00 |