WAL-MART STORES, INC.
NPI: 1558444190
· KNOXVILLE, IA 50138
· Optician
· NPI assigned 10/24/2006
$915.30
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/24/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
16 |
$189.05 |
| 2021 |
28 |
$491.25 |
| 2022 |
15 |
$235.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
59 |
56 |
$915.30 |