WAL-MART STORES EAST, LP
NPI: 1396858189
· MORGANTOWN, WV 26508
· Optician
· NPI assigned 08/16/2006
$666.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIR HEALTHCARE CONTRACT & ENROLL) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 08/16/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$666.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
12 |
12 |
$666.00 |