NPI: 1417105701 · OMAHA, NE 68124 · Eyewear Supplier · NPI assigned 08/29/2008
Authorized official SUTTON, SABRINA controls 13+ related entities in our dataset. Read more
| Authorized Official | SUTTON, SABRINA (NPI ASSOCIATE) |
| NPI Enumeration Date | 08/29/2008 |
Other providers sharing the same authorized official: SUTTON, SABRINA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES, INC. | KING OF PRUSSIA | PA | $5.74M |
| WAL-MART STORES EAST, LP | CINCINNATI(EVENDALE) | OH | $176K |
| WAL-MART STORES EAST, LP | NEW BOSTON | OH | $149K |
| SAM'S CLUB OPTICAL | DEPTFORD | NJ | $54K |
| WAL-MART STORES, INC. | OSWEGO | IL | $43K |
| WAL-MART STORES INC. | GALESBURG | IL | $33K |
| WAL-MART STORES EAST, LP | SHREVEPORT | LA | $28K |
| WAL-MART STORES, INC. | LOCKPORT | IL | $26K |
| WAL-MART STORES EAST, LP | WAVELAND | MS | $22K |
| WAL-MART STORES, INC. | LINCOLN | NE | $9K |
| WAL-MART STORES, INC. | RUIDOSO DOWNS | NM | $5K |
| WAL-MART STORES, INC. | RANTOUL | IL | $971.00 |
| WAL-MART STORES EAST, LP | BREAUX BRIDGE | LA | $785.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,973 | $42K |
| 2019 | 1,783 | $35K |
| 2020 | 1,197 | $24K |
| 2021 | 1,873 | $38K |
| 2022 | 1,988 | $44K |
| 2023 | 1,006 | $21K |
| 2024 | 181 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 5,144 | 5,053 | $89K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2,886 | 2,830 | $64K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1,104 | 1,094 | $24K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 441 | 437 | $21K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 402 | 397 | $8K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $198.50 |
| V2799 | Vision item or service, miscellaneous | 12 | 12 | $70.00 |