WAL-MART STORES EAST, LP.
NPI: 1841067204
· MECHANICSBURG, PA 17050
· Eyewear Supplier
· NPI assigned 12/06/2023
$388.28
Total Medicaid Paid
Provider Details
| Authorized Official | GARVEY, MICHELE (DIRECTOR OF HEALTH CARE CONTRACTING) |
| NPI Enumeration Date | 12/06/2023 |
Related Entities
Other providers sharing the same authorized official: GARVEY, MICHELE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
32 |
$388.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
32 |
31 |
$388.28 |