NPI: 1295816205 · APPLETON, WI 54915 · Optician · NPI assigned 10/17/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/17/2006 |
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 | 309 | $6K |
| 2022 | 506 | $13K |
| 2023 | 1,048 | $22K |
| 2024 | 279 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 950 | 838 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 343 | 280 | $14K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 403 | 344 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 88 | 88 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 147 | 146 | $4K |
| V2750 | Anti-reflective coating, per lens | 13 | 13 | $0.00 |
| 92015 | Determination of refractive state | 198 | 117 | $0.00 |