WAL-MART STORES EAST, LP.
NPI: 1477320653
· LYNN, MA 01905
· Eyewear Supplier
· NPI assigned 12/07/2023
$364.32
Total Medicaid Paid
Provider Details
| Authorized Official | GARVEY, MICHELE (DIRECTOR OF HEALTH CARE CONTRACTING) |
| NPI Enumeration Date | 12/07/2023 |
Related Entities
Other providers sharing the same authorized official: GARVEY, MICHELE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
196 |
$364.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
182 |
181 |
$364.32 |
| V2781 |
Progressive lens, per lens |
14 |
14 |
$0.00 |