NPI: 1386727501 · GREEN BAY, WI 54303 · Optician · NPI assigned 10/23/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/23/2006 |
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 |
|---|---|---|
| 2018 | 63 | $1K |
| 2019 | 51 | $775.00 |
| 2020 | 12 | $186.00 |
| 2021 | 573 | $10K |
| 2022 | 1,439 | $28K |
| 2023 | 1,613 | $33K |
| 2024 | 1,071 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 2,633 | 2,450 | $43K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,169 | 1,054 | $33K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 609 | 591 | $15K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 37 | 36 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $19.00 |
| V2750 | Anti-reflective coating, per lens | 362 | 360 | $0.00 |