NPI: 1548639784 · WHITEWATER, WI 53190 · Optician · NPI assigned 09/17/2015
| Authorized Official | LAUVER, DEB (SPECIALIST) |
| Parent Organization | WAL-MART STORES, INC |
| NPI Enumeration Date | 09/17/2015 |
Other providers sharing the same authorized official: LAUVER, DEB
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES, INC | OMAHA | NE | $235K |
| WAL-MART STORES, INC. | SIOUX CENTER | IA | $172K |
| WAL-MART STORES EAST, LP | STOUGHTON | WI | $116K |
| WAL-MART STORES EAST LP | NEW BERLIN | WI | $111K |
| WAL-MART STORES EAST, LP | WARREN | MI | $17K |
| WAL-MART STORES EAST, LP | LIMA | OH | $11K |
| WAL-MART STORES EAST, LP | HARTFORD | WI | $476.00 |
| WAL-MART STORES, INC | COUNCIL BLUFFS | IA | $259.25 |
| WALMART INC. | LAS VEGAS | NV | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 3,520 | $65K |
| 2020 | 1,350 | $26K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 2,909 | 2,908 | $47K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,446 | 1,446 | $36K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 275 | 275 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 29 | 29 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 15 | 15 | $275.50 |
| V2750 | Anti-reflective coating, per lens | 130 | 130 | $0.00 |
| V2781 | Progressive lens, per lens | 66 | 66 | $0.00 |