WAL-MART STORES EAST, LP
NPI: 1720160658
· IONIA, MI 48846
· Optician
· NPI assigned 10/19/2006
$478.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIR HEALTHCARE CONTR) |
| Parent Organization | WAL-MART STORES, INC |
| NPI Enumeration Date | 10/19/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$478.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
30 |
30 |
$478.00 |