WAL-MART STORES TEXAS, LLC
NPI: 1740361104
· PLAINVIEW, TX 79072
· Optician
· NPI assigned 10/18/2006
Provider Details
| Authorized Official | LEVINE, LAURA (MGR GOV CONTRACTING) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
104 |
$3K |
| 2021 |
539 |
$13K |
| 2022 |
596 |
$15K |
| 2023 |
526 |
$16K |
| 2024 |
239 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Deluxe frame |
619 |
618 |
$37K |
| V2750 |
Anti-reflective coating, per lens |
682 |
677 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
417 |
412 |
$7K |
| V2020 |
Frames, purchases |
87 |
85 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
156 |
139 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
31 |
31 |
$415.09 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$286.90 |