WAL-MART STORES TEXAS, LP
NPI: 1528163268
· BOERNE, TX 78006
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$685.89 |
| V2020 |
Vision svcs frames purchases |
26 |
26 |
$460.00 |