NPI: 1275616997 · NILES, MI 49120 · Optician · NPI assigned 10/24/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/24/2006 |
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 |
|---|---|---|
| 2021 | 225 | $2K |
| 2022 | 266 | $2K |
| 2023 | 450 | $4K |
| 2024 | 113 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 477 | 477 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 42 | 42 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 182 | 178 | $600.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $265.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 72 | 69 | $0.00 |
| 92015 | Determination of refractive state | 243 | 165 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26 | 26 | $0.00 |