NPI: 1841354651 · NASHVILLE, TN 37211 · Optician · NPI assigned 12/19/2006
| Authorized Official | RICE, BJ (PROVIDER ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 12/19/2006 |
Other providers sharing the same authorized official: RICE, BJ
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | WHITEHALL | OH | $295K |
| WAL-MART STORES EAST, LP | KANSAS CITY | MO | $267K |
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $229K |
| WAL-MART STORES EAST, LP | HANOVER | PA | $103K |
| WAL-MART STORES, INC. | LAS VEGAS | NV | $39K |
| WAL-MART STORES EAST, LP | MATHEWS | LA | $36K |
| WAL-MART STORES, INC. | WASHINGTON | MO | $2K |
| WAL-MART STORES EAST, LP | JOHNSON CITY | TN | $718.15 |
| WAL-MART STORES EAST, LP | MACCLENNY | FL | $470.00 |
| WAL-MART STORES EAST, LP | OOLTEWAH | TN | $291.05 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,241 | $13K |
| 2019 | 1,105 | $12K |
| 2020 | 543 | $6K |
| 2021 | 1,038 | $10K |
| 2022 | 1,280 | $9K |
| 2023 | 1,500 | $9K |
| 2024 | 590 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 3,343 | 3,112 | $30K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,730 | 1,659 | $29K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 198 | 196 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 104 | 103 | $2K |
| V2750 | Anti-reflective coating, per lens | 1,150 | 1,055 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 483 | 384 | $1K |
| V2744 | Tint, photochromatic, per lens | 156 | 140 | $60.00 |
| V2781 | Progressive lens, per lens | 133 | 113 | $19.00 |