NPI: 1750462768 · APPLETON, WI 54913 · Optician · NPI assigned 10/17/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/17/2006 |
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 | 3,010 | $74K |
| 2019 | 2,169 | $50K |
| 2020 | 1,777 | $42K |
| 2021 | 1,767 | $44K |
| 2022 | 2,292 | $53K |
| 2023 | 2,932 | $67K |
| 2024 | 1,302 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5,538 | 5,112 | $244K |
| 92015 | Determination of refractive state | 5,579 | 5,155 | $44K |
| V2020 | Frames, purchases | 2,241 | 2,024 | $33K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 876 | 761 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 724 | 640 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 70 | 69 | $140.50 |
| V2025 | Deluxe frame | 67 | 61 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 154 | 152 | $0.00 |