WAL-MART STORES EAST, LP
NPI: 1750439352
· COMMACK, NY 11725
· Optician
· NPI assigned 01/08/2007
Provider Details
| Authorized Official | CRAINSHAW, G (PROVIDER ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: CRAINSHAW, G
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$875.00 |
| 2022 |
13 |
$237.00 |
| 2023 |
106 |
$4K |
| 2024 |
181 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
305 |
304 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
40 |
40 |
$983.00 |