WAL-MART STORES EAST, LP
NPI: 1275913121
· SHREWSBURY, MO 63119
· Eyewear Supplier
· NPI assigned 06/05/2015
Provider Details
| Authorized Official | BLACKARD, EMILY (ENROLLMENT SPECIALIST) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 06/05/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
60 |
$839.50 |
| 2022 |
108 |
$2K |
| 2023 |
123 |
$4K |
| 2024 |
116 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2020 |
Frames, purchases |
283 |
283 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
79 |
79 |
$1K |
| 92002 |
|
18 |
18 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
25 |
$319.50 |