WAL-MART STORES EAST, LP
NPI: 1609959386
· WINCHESTER, VA 22603
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
50 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2100 |
Lens spher single plano 4.00 |
24 |
24 |
$3K |
| V2020 |
Vision svcs frames purchases |
26 |
26 |
$300.96 |