NPI: 1740364371 · PLOVER, WI 54467 · Optician · NPI assigned 10/24/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/24/2006 |
Other providers sharing the same authorized official: EPPERSON, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $361K |
| WAL-MART STOREES EAST, LP | WADSWORTH | OH | $339K |
| WAL-MART STORES EAST, LP | LEWIS CENTER | OH | $276K |
| WAL-MART STORES EAST, LP | OAKLAND | MD | $161K |
| WAL-MART STORES EAST, LP | SALEM | OH | $107K |
| WAL-MART STORES EAST, LP | LIMA | OH | $8K |
| WAL-MART STORES EAST, LP | BUCKHANNON | WV | $7K |
| WAL-MART STORES EAST, LP | PRINCETON | WV | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 486 | $11K |
| 2019 | 293 | $5K |
| 2020 | 396 | $8K |
| 2021 | 685 | $14K |
| 2022 | 592 | $11K |
| 2023 | 914 | $19K |
| 2024 | 485 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 444 | 411 | $20K |
| 92015 | Determination of refractive state | 1,521 | 1,418 | $15K |
| V2020 | Frames, purchases | 876 | 804 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 316 | 282 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 408 | 359 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 173 | 147 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 113 | 102 | $3K |