WAL-MART STORES EAST, LP
NPI: 1396828224
· MYRTLE BEACH, SC 29577
· Optician
· NPI assigned 10/23/2006
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/23/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
99 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
49 |
49 |
$1K |
| V2020 |
Frames, purchases |
38 |
38 |
$666.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$381.00 |