WAL-MART STORES EAST, LP
NPI: 1558752360
· MORRISTOWN, TN 37814
· Optician
· NPI assigned 02/16/2015
Provider Details
| Authorized Official | LEVINE, LARUA (DIRECTOR, OF HEALTHCARE CONTRACTING) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 02/16/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
85 |
$960.94 |
| 2021 |
96 |
$926.70 |
| 2022 |
102 |
$1K |
| 2023 |
277 |
$3K |
| 2024 |
152 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
585 |
513 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
109 |
100 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
18 |
17 |
$0.00 |