NPI: 1356442867 · HOUSTON, TX 77040 · Optician · NPI assigned 09/26/2006
| Authorized Official | GENTILE, NICOLE (NPI COORDINATOR) |
| NPI Enumeration Date | 09/26/2006 |
Other providers sharing the same authorized official: GENTILE, NICOLE
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES TEXAS, LP | LAKE JACKSON | TX | $632K |
| WAL-MART STORES TEXAS, LP | BAYTOWN | TX | $595K |
| WAL-MART STORES TEXAS, LP | PASADENA | TX | $497K |
| WAL-MART STORES TEXAS, LP | ALVIN | TX | $483K |
| WAL-MART STORES EAST, LP | CINCINNATI | OH | $464K |
| WAL-MART STORES TEXAS, LP | BRYAN | TX | $440K |
| WAL-MART STORES TEXAS, LP | SAN ANTONIO | TX | $437K |
| WAL-MART STORES TEXAS, LP | HOUSTON | TX | $418K |
| WAL-MART STORES EAST, LP | MADISON | OH | $403K |
| WAL-MART STORES TEXAS, LP | EDINBURG | TX | $374K |
| WAL-MART STORES TEXAS, LP | CLEVELAND | TX | $363K |
| WAL-MART STORES TEXAS, LP | LIVINGSTON | TX | $318K |
| WAL-MART STORES EAST, LP | LOGAN | OH | $303K |
| WAL-MART STORES TEXAS, LP | HARLINGEN | TX | $301K |
| WAL-MART STORES TEXAS, LP | HOUSTON | TX | $300K |
| WAL-MART STORES TEXAS, LP | SPRING | TX | $286K |
| WAL-MART STORES EAST, LP | ATHENS | OH | $276K |
| WAL-MART STORES EAST, LP | NEWARK | OH | $260K |
| WAL-MART STORES EAST, LP | HAMILTON | OH | $246K |
| WAL-MART STORES TEXAS, LP | ROUND ROCK | TX | $240K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 49 | $718.00 |
| 2020 | 714 | $12K |
| 2021 | 3,165 | $68K |
| 2022 | 2,996 | $76K |
| 2023 | 2,710 | $87K |
| 2024 | 1,568 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 2,998 | 2,992 | $201K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,741 | 1,730 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,781 | 1,768 | $27K |
| V2020 | Frames, purchases | 1,219 | 1,196 | $19K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 668 | 664 | $9K |
| V2750 | Anti-reflective coating, per lens | 1,966 | 1,955 | $7K |
| V2744 | Tint, photochromatic, per lens | 621 | 617 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 65 | 64 | $512.86 |
| V2799 | Vision item or service, miscellaneous | 116 | 115 | $370.48 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 15 | 15 | $230.66 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 12 | 12 | $190.00 |