WAL-MART STORES EAST, LP
NPI: 1891877700
· MADISON, WI 53714
· Optician
· NPI assigned 10/19/2006
$490.12
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/19/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
13 |
$195.00 |
| 2024 |
29 |
$295.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
42 |
42 |
$490.12 |