WAL-MART STORES EAST, LP
NPI: 1871674895
· MADISON, WI 53719
· Orthoptist
· NPI assigned 10/17/2006
$367.00
Total Medicaid Paid
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 |
|---|
| 2022 |
13 |
$193.00 |
| 2023 |
13 |
$174.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
26 |
25 |
$367.00 |