WAL-MART STORES EAST, LP
NPI: 1821449299
· GAINESVILLE, FL 32608
· Optician
· NPI assigned 06/28/2016
$838.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (DIRECTOR, HEALTHCARE CONTRACTING) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 06/28/2016 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
55 |
$838.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
55 |
29 |
$838.00 |