WAL-MAT STORES TEXAS, LLC
NPI: 1326428095
· SPRING BRANCH, TX 78070
· Optician
· NPI assigned 06/08/2015
$264.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (MANAGER-HEALTHCARE) |
| Parent Organization | WAL-MART STORES, IN. |
| NPI Enumeration Date | 06/08/2015 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$264.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
15 |
14 |
$264.00 |