WAL-MART STORES EAST LP
NPI: 1316210057
· BERLIN, MD 21811
· Optician
· NPI assigned 02/10/2012
Provider Details
| Authorized Official | FROMM, LISA (ENROLLMENT SPECIALIST) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 02/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
96 |
$640.75 |
| 2023 |
179 |
$2K |
| 2024 |
327 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
409 |
394 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
166 |
164 |
$728.75 |
| V2750 |
Anti-reflective coating, per lens |
27 |
27 |
$0.00 |