WAL-MART STORES EAST, LP
NPI: 1447705546
· LA VERGNE, TN 37086
· Optician
· NPI assigned 08/18/2016
$548.30
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIR. HEALTHCARE CONTRACTING) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 08/18/2016 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$112.80 |
| 2023 |
66 |
$435.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
63 |
59 |
$548.30 |
| V2750 |
Anti-reflective coating, per lens |
16 |
14 |
$0.00 |