NPI: 1558442046 · FORT WORTH, TX 76120 · Optician · NPI assigned 10/18/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/18/2006 |
Other providers sharing the same authorized official: EPPERSON, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $361K |
| WAL-MART STOREES EAST, LP | WADSWORTH | OH | $339K |
| WAL-MART STORES EAST, LP | LEWIS CENTER | OH | $276K |
| WAL-MART STORES EAST, LP | OAKLAND | MD | $161K |
| WAL-MART STORES EAST, LP | SALEM | OH | $107K |
| WAL-MART STORES EAST, LP | LIMA | OH | $8K |
| WAL-MART STORES EAST, LP | BUCKHANNON | WV | $7K |
| WAL-MART STORES EAST, LP | PRINCETON | WV | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 191 | $3K |
| 2021 | 1,687 | $21K |
| 2022 | 1,620 | $22K |
| 2023 | 1,536 | $24K |
| 2024 | 1,184 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 2,468 | 2,427 | $50K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,587 | 1,560 | $31K |
| V2750 | Anti-reflective coating, per lens | 1,698 | 1,672 | $5K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 308 | 302 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 56 | 56 | $852.50 |
| V2744 | Tint, photochromatic, per lens | 70 | 69 | $47.00 |
| V2799 | Vision item or service, miscellaneous | 31 | 29 | $0.00 |