WAL-MART STORES EAST, LP
NPI: 1780764134
· DELAVAN, WI 53115
· Optician
· NPI assigned 10/17/2006
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/17/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
92 |
$1K |
| 2022 |
251 |
$5K |
| 2023 |
273 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
413 |
408 |
$6K |
| 92002 |
|
54 |
52 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
70 |
70 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
25 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
38 |
38 |
$935.50 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$0.00 |